Andrea M Mattia in Old Tappan - Pediatric Dentistry

Andrea M Mattia - NPI 1669547790

Andrea M Mattia is a Pediatric Dentistry in Old Tappan, New Jersey. Andrea M Mattia practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Andrea M Mattia is 1669547790. The last update date is 2007-07-08.

Andrea M Mattia's current location address is 175 Old Tappan Rd, Old Tappan, New Jersey. You can contact this provider via phone number 2017687100 and fax number 2017680183. The mailing address for Andrea M Mattia is 175 Old Tappan Rd, Old Tappan, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea M Mattia
Address 175 Old Tappan Rd, Old Tappan, New Jersey
Phone Number 2017687100
Fax Number 2017680183
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1669547790
Provider Enumeration Date 2006-11-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 175 Old Tappan Rd
City Old Tappan
State New Jersey (NJ)
Post Code 76757042
Phone Number 2017687100
Fax Number 2017680183

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 22DI02135500
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Andrea M Mattia

What is the unique identification code assigned to Andrea M Mattia by the Centers for Medicare & Medicaid Services?

The Andrea M Mattia has been issued the NPI (National Provider Identifier) 1669547790. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Andrea M Mattia is physically located?

The Andrea M Mattia is physically situated at the following address: 175 Old Tappan Rd, Old Tappan, NJ, 76757042.

What is Andrea M Mattia's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Andrea M Mattia is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1669547790 to Andrea M Mattia?

The Centers for Medicare & Medicaid Services assigned the 1669547790 to Andrea M Mattia on 2006-11-22.

When was the information related to Andrea M Mattia most recently updated or refreshed?

The details pertaining to the Andrea M Mattia, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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