Matthew John Prezioso, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12845 Issued in CT

Practice address

954 S Main St
Plantsville, CT 06479-1645

Phone

(860) 628-4761

NPI assigned

Apr 5, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• DRS. Wernick & Dym, P.C.

  • General Practice Dentistry
  • East Hartford, CT
  • NPI 1801918818
  NPD (past)
• Southington Family Dentistry

  • General Practice Dentistry
  • Plantsville, CT
  • NPI 1396815148
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1841752938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791645",
            "telephone_number": "860-628-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791645",
            "telephone_number": "860-628-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908225201",
            "country_code": "US",
            "telephone_number": "562-826-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREZIOSO",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plantsville Pharmacy Inc
• Plantsville Pharmacy Inc.
• Jennifer R. Platteis, LPC, LMHC, M.ED.
• Emily Rose Pomykala, MS RDN CD-N
• Amanda Ponzini, LMFT
• Progressive Pathways Behavior Analytic Consultation Services PLLC
• Evelyn Katherine Puzio, MSOT, OTRL/L
• Jonathan Rauch
• Rebecca Stamat
• Ben C. Reilly, DC

• General Practice Dentistry in Plantsville, CT
• Providers in Plantsville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.