Michel Matouk, MD.,DDS.,PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN15692 Issued in FL

Legal business name

MICHEL MATOUK, MD.,DDS.,PA

Practice address

2600 East Commercial Blvd
Suite 200
Fort Lauderdale, FL 33308

Phone

(954) 566-0300

Fax

(954) 566-9066

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Michel Matouk, DDS

Title

Oral Surgeon

Phone

(954) 566-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1730241654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 EAST COMMERCIAL BLVD",
            "address_2": "SUITE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-566-0300",
            "fax_number": "954-566-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 EAST COMMERCIAL BLVD",
            "address_2": "SUITE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-566-0300",
            "fax_number": "954-566-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL MATOUK, MD.,DDS.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "MATOUK",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "954-566-0300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Michael
• Chelsea Michaels, DNP, FNP-C
• Stephanie Michaels, PHARMD
• Edward Michaelson, M.D.
• Sarah Bergeline Mishmarna Michaud, PHYSICIAN ASSISTANT
• Arlene Michel, PA-C
• Jean Claude Michel, DC
• Johannie Claude-Francois Michel, PA-C
• Raynald Michel, D.D.S
• Valerie Michel, PMHNP

• Oral and Maxillofacial Surgery (Dentist) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.