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David Rodney Matthew

Dentist, General Practice in Vineyard Haven, MA. Individual provider (NPI-1).

NPI number1013593433
StatusActive
Last updated in NPPESMar 24, 2021

Details

NPI
1013593433
Entity type
Individual (NPI-1)
Name
David Rodney Matthew
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2021
Certification date
Mar 24, 2021
Last updated
Mar 24, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN20741MAYes

Practice location

60 Lagoon Pond Rd
Vineyard Haven, MA 02568-5511

Phone 508-693-5068

Mailing address

Po Box 1349
Vineyard Haven, MA 02568-0905

Phone 508-693-5068

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Vineyard Haven, MA

All 7 General Practice Dentistry providers in Vineyard Haven · All 183 providers in Vineyard Haven

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