Your Dentistry Today – General Practice Dentistry

Key facts

NPI: 1508991043
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Dentistry 1223G0001X
Legal business name: YOUR DENTISTRY TODAY
Practice address: 3844 Kennett Pike
Suite 206
Greenville, DE 19807-2305
Phone: (302) 575-0100
NPI assigned: Feb 23, 2007
Organization subpart: No

Authorized official

Name: Dr. Michael D Matthias NPI 1881760288
Title: President
Phone: (302) 575-0100

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Michael David Matthias, DMD Dentist · Greenville, DE · NPI 1881760288

NPD (past) Authorized official

National Provider Directory

Locations

3844 Kennett Pike
Ste 206
Wilmington, DE 19807
Phone (302) 575-0100

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193400000X SINGLE SPECIALTY GROUP	1223G0001X			Yes

Addresses

Primary practice location

3844 Kennett Pike
Suite 206
Greenville, DE 19807-2305

Mailing address

3844 Kennett Pike Ste 206
Greenville, DE 19807-2305
Phone (302) 575-0100

Other identifiers

Identifier	Type	State	Issuer
0001158408	Medicaid	DE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2009.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1508991043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 KENNETT PIKE STE 206",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072305",
            "telephone_number": "302-575-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 KENNETT PIKE",
            "address_2": "SUITE 206",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072305",
            "telephone_number": "302-575-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DENTISTRY TODAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "MATTHIAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-575-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001158408",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, DE

All providers in Greenville, DE · General Practice Dentistry in Delaware

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2009. 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.

Verify at the official NPI Registry.