Matthew David Cole, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6061 Issued in OK

Practice address

1401 S Ranchwood Blvd Ste 110
Yukon, OK 73099-2760

Phone

(405) 354-4806

Fax

(405) 354-1277

NPI assigned

Jun 27, 2008

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew D. Cole, DDS, PC

  dba 1st Impressions Dentistry of Yukon

  • General Practice Dentistry
  • Yukon, OK
  • NPI 1043545627
  NPD Authorized official

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1740442920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S RANCHWOOD BLVD STE 110",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992760",
            "telephone_number": "405-354-4806",
            "fax_number": "405-354-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RANCHWOOD BLVD STE 110",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992760",
            "telephone_number": "405-354-4806",
            "fax_number": "405-354-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickie Nicole Cochran
• Aaron Cohenour, D.D.S
• Patrick Thomas Cohenour, DDS
• Sherry N. Colbert, CCC-SLP
• Courtney Cole
• Deidra Lea Collins-Griffith
• Ryan Combs
• Complete Rehab Inc
• Complete Rehab, LLC (Oklahoma Pediatric Therapy Center)
• Comprehensive Pain Management of Oklahoma, P.L.L.C.

• General Practice Dentistry in Yukon, OK
• Providers in Yukon, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.