Organization Active NPI

Jeff R Matilsky DMD PA

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1033212451
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFF R MATILSKY DMD PA
Practice address
1110 NW 8TH Ave
Suite a
Gainesville, FL 32601-4969
Phone
(352) 376-4637
Fax
(352) 373-2268
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debbie Matilsky
Title
Office Manager
Phone
(352) 376-4637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X FL Primary

Addresses

Primary practice location

1110 NW 8TH Ave
Suite a
Gainesville, FL 32601-4969

Mailing address

1110 NW 8TH Ave
Suite a
Gainesville, FL 32601-4969
Phone (352) 376-4637

National Provider Directory

National Provider Directory

Locations

1110 NW 8th Ave
Ste A
Gainesville, FL 32601
Phone (352) 376-4637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1033212451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NW 8TH AVE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014969",
            "telephone_number": "352-376-4637",
            "fax_number": "352-373-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NW 8TH AVE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014969",
            "telephone_number": "352-376-4637",
            "fax_number": "352-373-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF R MATILSKY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "MATILSKY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-376-4637",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.