Active NPI
Dale Eugene Mateer, DDS
- General Practice Dentistry
- Beavercreek, OH
National Provider Identifier
1255371845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17254
- Practice address
- 1210 Meadow Bridge Dr
Beavercreek, OH 45434-4300 - Phone
- (937) 426-5223
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17254 | OH | Primary |
Addresses
Primary practice location
1210 Meadow Bridge Dr
Beavercreek, OH 45434-4300
Mailing address
1210 Meadow Bridge Dr
Beavercreek, OH 45434-6389
Phone (937) 426-5223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17254 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255371845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 MEADOW BRIDGE DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346389",
"telephone_number": "937-426-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 MEADOW BRIDGE DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454344300",
"telephone_number": "937-426-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEER",
"first_name": "DALE",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "17254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.