Matthew Lalli DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MATTHEW LALLI DDS

Doing business as

St Pete Oral Surgery Institute

Practice address

7100 4TH St N
St Petersburg, FL 33702-5912

Phone

(727) 592-8881

Fax

(727) 592-8882

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Matthew F Lalli, DDS

Title

Owner

Phone

(727) 592-8881

Specialties & licenses 1

Addresses

Other names 1

• St Pete Oral Surgery Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Lalli, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • St Petersburg, FL
  • NPI 1609332931
  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1780437749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025912",
            "telephone_number": "727-592-8881",
            "fax_number": "727-592-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025912",
            "telephone_number": "727-592-8881",
            "fax_number": "727-592-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW LALLI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "LALLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-592-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Pete Oral Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elias N Matta, M.D.
• Neil S Matta, L.D.O
• Judith Ann Mattea, ARNP
• Gehan Kadri Matter, PTA
• Matthew G Smith MD PA
• Tara Matthews, M.S., CCC-SLP
• Ashleigh Brooke Mattingley, APRN
• Meghan Mattson
• Heather Maturo
• Susan Mae Mauer, ARNP

• Oral and Maxillofacial Surgery (Dentist) in St Petersburg, FL
• Providers in St Petersburg, 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 Apr 9, 2024; 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.