Matthew Steven Carmien, D.D.S.
Individual provider Active NPI General Practice Dentistry · Plymouth, IN
NPI 1669819215 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1669819215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12011942A (IN)
- Practice address
- 850 Columbus Dr
Plymouth, IN 46563-1877 - Phone
- (574) 936-2527
- NPI assigned
- May 22, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011942A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmien & Pedavoli Family Dentistry, LLC | General Practice | Current |
Accepting new patients |
| Dental Health P.C. | General Practice | Past | Accepting new patients |
| Thomas M. Pedavoli DDS Inc. | Dentist | Past |
Accepting new patients |
Locations
850 Columbus Dr
Plymouth, IN 46563
Phone (574) 936-2527
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011942A | IN | |
| General Practice Dentistry | 1223G0001X | 12011942A | IN | Yes |
Addresses
Primary practice location
850 Columbus Dr
Plymouth, IN 46563-1877
Mailing address
850 Columbus Dr
Plymouth, IN 46563-1877
Phone (574) 936-2527
Other providers in Plymouth, IN
- Carrie Ann Cadwell
- Dawn Campbell
- Cardinal Center, Inc.
- Geri Carlson
- Carmien & Pedavoli Family Dentistry, LLC
- Charlie J Celadina II
- Central Indiana Orthopedics, LLC
- Cep America - Anesthesia PC
- Cep America LLC
- Sarah Chambers
All providers in Plymouth, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. 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.