Matthew Sandusky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042077 Issued in PA

Practice address

4129 Locust LN
Harrisburg, PA 17109-4120

Phone

(717) 657-3326

NPI assigned

May 7, 2018

Last updated

Aug 6, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friedman DMD & Grater DMD, PC

  • General Practice Dentistry
  • Harrisburg, PA
  • NPI 1952550683
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1871082651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094120",
            "telephone_number": "717-657-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094120",
            "telephone_number": "717-657-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDUSKY",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurpreet Singh Sandhu, MD
• Sandeep Sandhu, DDS
• Karen Sandnes, LCSW
• Patricia Sandoval
• Teodora Sandu
• Blandine Wendpouire Sandwidi, CRNP
• Akshata Dilip Sanghavi, MPT
• Ali Sanjari Moghaddam, M.D.
• Julie E Santana, BA
• Sante Integrative Medicine, LLC (Sante Integrative Medicine)

• General Practice Dentistry in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.