Matthew Firestone, DDS
Dentist, General Practice in West Grove, PA. Individual provider (NPI-1).
NPI number1861973299
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1861973299
- Entity type
- Individual (NPI-1)
- Name
- Matthew Firestone
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2018
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS045495 | PA | Yes |
| 1223G0001X | Dentist, General Practice | 34560 | TX |
Practice location
1 Commerce BlvdWest Grove, PA 19390-9198
Phone 610-345-1125
Mailing address
1 Commerce BlvdWest Grove, PA 19390-9198
Phone 610-345-1125
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.
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