Matus Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATUS FAMILY DENTISTRY

Practice address

1067 Farmington Ave
Berlin, CT 06037-2244

Phone

(860) 828-1475

Fax

(860) 828-1718

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Matus, DMD

Title

Owner

Phone

(860) 558-1644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1073082707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 FARMINGTON AVE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372244",
            "telephone_number": "860-828-1475",
            "fax_number": "860-828-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 FARMINGTON AVE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372244",
            "telephone_number": "860-828-1475",
            "fax_number": "860-828-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATUS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "MATUS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-558-1644",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Maneen, DPT
• Michael Maroon, D.M.D.
• Jessica Lynn Maroto
• Amanda L Marrotte, LMFT
• Stacey Ann Matan
• Medstar Surgical & Breathing Equipment, Inc. (Genox Homecare)
• Ariel Methoxha
• Mindful Growth Unlimited
• Margaret Mirabella-Pimer
• Asim Mohamed, PHARM D

• Dental Clinic/Center in Berlin, CT
• Providers in Berlin, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.