Organization Active NPI

Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC VIII

  • Pediatric Dentistry
  • Harrisburg, NC
National Provider Identifier
1255165205
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC VIII
Practice address
4079 Harris Square Dr
Harrisburg, NC 28075-5104
Phone
(516) 848-6762
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dr. Matthew Gidaly, DDSNPI 1376971564
Title
Owner/Partner
Phone
(516) 848-6762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4079 Harris Square Dr
Harrisburg, NC 28075-5104

Mailing address

4079 Harris Square Dr
Harrisburg, NC 28075-5104
Phone (516) 848-6762

Other names 1

  • NC Tooth Docs- Harrisburg Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4079 Harris Square Dr
Harrisburg, NC 28075
Phone (516) 848-6762

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": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1255165205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 HARRIS SQUARE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755104",
            "telephone_number": "516-848-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 HARRIS SQUARE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755104",
            "telephone_number": "516-848-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC VIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "GIDALY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "516-848-6762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NC Tooth Docs- Harrisburg Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.