Individual provider Active NPI

Matthew Frank Lalli, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Key West, FL
National Provider Identifier
1659635175
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN27595 Issued in FL
Practice address
1721 Flagler Ave
Key West, FL 33040
Phone
(305) 294-6696
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 13173 CT
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 50-058609 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 058609 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN27595 FL Primary

Addresses

Primary practice location

1721 Flagler Ave
Key West, FL 33040

Mailing address

3110 Grand Ave Courtland Satori
Pinellas Park, FL 33782
Phone (914) 552-2281

Other practice location 1

1721 flagler ave
key west, FL 33040
Phone (305) 294-6696

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13173CTMDOral and Maxillofacial Surgery (Dentist)
DN27595FLMDOral and Maxillofacial Surgery (Dentist)
50-058609NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Artistic Smiles, P.a. CurrentSince Oct 12, 2025 Accepting new patients
Yonkers Oral Surgery, PLLC Oral and Maxillofacial Surgery PastSince Feb 1, 2017 Accepting new patients
Island Dental Associates, P. a. PastSince May 14, 2023 Accepting new patients
Professional Oral Surgery Alliance of Downstate New York PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1721 Flagler Ave
Key West, FL 33040
Phone (305) 294-6696

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1659635175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GRAND AVE COURTLAND SATORI",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33782",
            "telephone_number": "914-552-2281",
            "fax_number": "914-968-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-294-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 flagler ave",
            "address_purpose": "LOCATION",
            "city": "key west",
            "state": "FL",
            "postal_code": "33040",
            "country_code": "US",
            "telephone_number": "305-294-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALLI",
        "first_name": "MATTHEW",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "13173",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "50-058609",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058609",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN27595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.