Matthew Paul Caceci, DMD
Individual provider Active NPI General Practice Dentistry · New Milford, CT
NPI 1326568353 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1326568353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11837 (CT)
- Practice address
- 30 Bridge St Ste 303
New Milford, CT 06776-3517 - Phone
- (586) 035-4960
- Fax
- (860) 355-4072
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J & John P Caceci PTRS | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11837 | CT | Yes |
Addresses
Primary practice location
30 Bridge St Ste 303
New Milford, CT 06776-3517
Mailing address
30 Bridge St Ste 303
New Milford, CT 06776-3517
Phone (860) 354-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11837 | Other | CT | LICENSE |
Other providers in New Milford, CT
- Cameron C Brown
- Melissa Brown
- Carol Jean Burns
- Josef J Burton
- John Paul Caceci
- Paul John Caceci
- Christina Marie Cameron
- Candlewood New Milford LLC
- Candlewood SNF Operations LLC
- Candlewood Valley Care Ctr
All providers in New Milford, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.