Matthew S Yarborough DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW S YARBOROUGH DDS INC

Doing business as

Magnolia Family Dentistry

Practice address

1020 Magnolia Ave
Larkspur, CA 94939-1016

Phone

(415) 937-1125

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Yarborough

Title

Dentist

Phone

(415) 937-1125

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Family Dentistry 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.

• Marcello Indelicato, D.D.S.

  • General Practice Dentistry
  • Larkspur, CA
  • NPI 1801108907
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1811457500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MAGNOLIA AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MAGNOLIA AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391016",
            "telephone_number": "415-937-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW S YARBOROUGH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "YARBOROUGH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-937-1125"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jacquelyn Maroney, M.D.
• Dena Lynn Martin-Josephs, ADDICTION COUNSELOR
• Pamela Martin, MD
• Stacy Mason, P.T.
• Matrix Rehabilitation, Inc.
• Jason E Mattox, M.P.T.
• Haley Mayenkar
• Stephanie McCaffrey, P.T.
• Cynthia L McIntyre, LMFT
• Barbara Ruth McLain, NP

• Dental Clinic/Center in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.