Chad D Matone, D.D.S.
Individual provider Active NPI General Practice Dentistry · N Little Rock, AR
NPI 1821149337 · NPPES record last updated Dec 27, 2011
Key facts
- NPI
- 1821149337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3574 (AR)
- Practice address
- 7400 N Hills Blvd
N Little Rock, AR 72116-4539 - Phone
- (501) 835-4567
- Fax
- (501) 834-9178
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3574 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Don M. Whitten Dentistry PA | General Practice | Past | Accepting new patients |
| Chad Matone Dental Services,P.L.L.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3574 | AR | Yes |
Addresses
Primary practice location
7400 N Hills Blvd
N Little Rock, AR 72116-4539
Mailing address
7400 N Hills Blvd
N Little Rock, AR 72116-4539
Phone (501) 835-4567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164408608 | Medicaid | AR | |
| 3574 | Other | AR | DELTA DENTAL |
| 1876078 | Other | AR | UNITED CONCORDIA |
| 5Y906 | Other | AR | AR BLUE CROSS BLUE SHIELD |
Other providers in N Little Rock, AR
- Jordan Lancaster
- Govinda Prasad Lohani
- Lyndro Enterprises LLC
- Susan Kay Martin
- Mary Medical Equipment and Supplies LLC
- Mircia Matos
- Julia M McCoy
- Annette P Meador
- Medlinc Inc
- Steven F Molpus
All providers in N Little Rock, AR · General Practice Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.