Monticello Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONTICELLO DENTAL CENTER PLLC

Practice address

112 W Bradley St
Star City, AR 71667-5114

Phone

(870) 628-5131

NPI assigned

Dec 15, 2017

Organization subpart

No

Name

Chad D Matone, DDS

Title

Owner/Dentist

Phone

(501) 205-1084

Tax ID family

Monticello Dental Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monticello Dental Center PLLC

  • General Practice Dentistry
  • Monticello, AR
  • NPI 1346765161
  NPD tax ID

• Star City Dental Center Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2019.

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1578079307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241785",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230014",
            "telephone_number": "501-205-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W BRADLEY ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675114",
            "telephone_number": "870-628-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MATONE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "501-205-1084",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star City Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mainline Health Systems, Inc
• Mainline Health Systems, Inc
• Mainline Health Systems, Inc.
• April Summer McGhee, APRN
• Megan Margurette McGriff, SLP
• Monticello Medical Clinic, PLC
• Crystal Lynn Moore, PHARMD
• Krystal Morgan, BS
• N Drew Street Operating LLC
• Kendal Noble, APRN

• All providers in Star City, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.