Matthew Scott Dubois, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13735 Issued in MI

Practice address

13046 Eureka Rd
Southgate, MI 48195-1346

Phone

(734) 282-4838

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eureka Family Dental PC

  • Dental Clinic/Center
  • Southgate, MI
  • NPI 1366176166
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760536833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13046 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951346",
            "telephone_number": "734-282-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13046 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951346",
            "telephone_number": "734-282-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Doyle III
• Dr. Dinesh Nayak, MD, P.C. (Pediatric & Adolescent Center)
• Trinity Charles Drew
• Georgina Drury
• Liza Du Plessis
• Nicole Michele Duckwyler-Tucker, LLMSW
• Julia Allison Dudewicz, MA, LPC
• Christi Marie Dufour
• Megan Dufour
• Kaitlin Dughlas, CPNP-PC

• General Practice Dentistry in Southgate, MI
• Providers in Southgate, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.