Fadi Jamal Matti, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901602292 Issued in MI

Practice address

1109 W Broad St
Chesaning, MI 48616-1088

Phone

(989) 845-7242

NPI assigned

Sep 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chesaning Family Dental PC

  • Dentist
  • Chesaning, MI
  • NPI 1821171992
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1124846910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W BROAD ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161088",
            "telephone_number": "989-845-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W BROAD ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161088",
            "telephone_number": "989-845-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTI",
        "first_name": "FADI",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Frances Mahoney, PHARMD
• Whitney Mankins, FNP-BC
• Tiffany Eva Martin
• Martins Rural Care Services LLC
• Kayla Matlock
• Gabriela McClendon
• Kristin Marie McLavy, RN
• Brittany McLean
• Memorial Hospital
• Cristina Mendoza

• All providers in Chesaning, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.