Matthew A Dow, DDS

Individual provider Active NPI General Practice Dentistry · Taneytown, MD

NPI 1295833341 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295833341
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6943 (MD)
Practice address
438 East Baltimore Street
Taneytown, MD 21787-2304
Phone
(410) 756-4373
Fax
(410) 751-1774
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6943MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Taney Dental Associates, LLC General Practice Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6943 MD Yes

Addresses

Primary practice location

438 East Baltimore Street
Taneytown, MD 21787-2304

Mailing address

438 East Baltimore Street
Taneytown, MD 21787-2304
Phone (410) 756-4373

Other identifiers

IdentifierTypeStateIssuer
9771OtherMDBLUE CROSS MEDICAL ID #
2379OtherMDBLUE CROSS BLUE SHIEL
413983OtherMDMEDICAL ASSISTANCE
413983OtherPAPA BS UNITED CONCORDIA

Other providers in Taneytown, MD

All providers in Taneytown, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.