Matthew R. Lark, D.D.S., P.C., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.017159 Issued in OH

Legal business name

MATTHEW R. LARK, D.D.S., P.C., INC.

Practice address

4315 N Holland Sylvania Rd
Toledo, OH 43623-2507

Phone

(419) 824-7900

Fax

(419) 824-7877

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Brigid M Lark

Title

Bookkeeper

Phone

(419) 824-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew R Lark, D.D.S.

  • General Practice Dentistry
  • Toledo, OH
  • NPI 1346370178
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073643854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232507",
            "telephone_number": "419-824-7900",
            "fax_number": "419-824-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232507",
            "telephone_number": "419-824-7900",
            "fax_number": "419-824-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R. LARK, D.D.S., P.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARK",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "419-824-7900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.017159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley A Matos, M.D.
• Gina Mattei, MA
• Joseph Edward Matter
• Matters of the Mind Counseling and Consulting LLC
• Frederic Howard Mattes, M.D.
• Catherine Marie Matthews, ED. S.
• Ka'Nia Matthews
• Najwa Matthews
• Robyn Matthews
• Sara Marie Matthews, CPNP-PC

• General Practice Dentistry in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.