Matthew Bolduc DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW BOLDUC DDS INC

Practice address

1738 Aviation Blvd
Redondo Beach, CA 90278-2810

Phone

(571) 969-8908

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Matthew Steven Bolduc, DDSNPI 1437385051

Title

Dentist

Phone

(571) 969-8908

Specialties & licenses 1

Addresses

Other names 1

• Redondo Smile Dental Doing business as

Practitioners 1

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

• Matthew Steven Bolduc, DDS

  • Dentist
  • Norfolk, VA
  • NPI 1437385051
  NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1811700362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810",
            "telephone_number": "571-969-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810",
            "telephone_number": "571-969-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW BOLDUC DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "571-969-8908",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redondo Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard D. Masuoka, DMD
• Mathew Deville Chiropractic, P.C.
• Rand Taylor Light Matsumoto
• Stanford Kei Matsuno, MD
• Brynn Matsuura, DDS
• Christine N Matthews, D.D.S
• Nicholas J Matthews, D.D.S.
• Agata Matusz, RD
• Linda Sindoni Maul, MFT
• Cherubim Narlyn Mauricio, LCSW

• Dental Clinic/Center in Redondo Beach, CA
• Providers in Redondo Beach, 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 Jan 29, 2025; 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.