Michael D. Mattiacio D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL D. MATTIACIO D.D.S., P.C.

Practice address

2946 Erie Blvd E
Syracuse, NY 13224-1431

Phone

(315) 445-2678

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael David Mattiacio, D.D.S.NPI 1073631156

Title

Owner

Phone

(315) 445-2678

Specialties & licenses 1

Addresses

Other names 1

• Quest Dental Group Doing business as

Locations

Practitioners 3

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

• Michael David Mattiacio, D.D.S.

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1073631156
  NPD (past) Authorized official
• Amy Beth Borys Carrico, D.M.D.

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1093834764
  NPD (past)
• Vanlinh Tien Nguyen, D.D.S.

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1154345304
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1619098076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 ERIE BLVD E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241431",
            "telephone_number": "315-445-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 ERIE BLVD E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241431",
            "telephone_number": "315-445-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. MATTIACIO D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MATTIACIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-445-2678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quest Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MH-Cny-FL Medical PC
• Sharmeen Kamran Mian, M.B.B.S.
• Gina Patricia Micaroni
• Matthew Micco, MD
• Michael B. McGrath, DDS, PC
• Michael J Geiss M.D., P.C.
• Michael J Paciorek MD PC
• Michael S Grossman DDS PLLC
• Alfred Michael, PA-C
• Cassandra Michael

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.