Active NPIIndividual provider

Dr. Janellen G Matyas, DDS

Dentist, General Practice in New London, Connecticut

NPI Number1104945708
Practice location
4 Shaws Cv Ste 202, New London, CT 06320-4956
Fax
860-444-6145
Last updated
July 8, 2007

Janellen G Matyas is a Dentist, General Practice based in New London, CT. Janellen G Matyas practices in New London, CT and has the professional credentials of DDS. The NPI Number for Janellen G Matyas is 1104945708 and holds a License No. 6895 (CT). The current practice location address for Janellen G Matyas is 4 Shaws Cv Ste 202, New London, CT 06320-4956 and can be reached out via phone at 860-443-4199 and via fax at 860-444-6145.

Provider Profile Details

NPI Number
1104945708
Provider Name
Janellen G Matyas
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4 Shaws Cv Ste 202, New London, CT 06320-4956
Phone Number
860-443-4199
Fax Number
860-444-6145
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Shaws Cv Ste 202
New London, CT 06320-4956
Zip
06320-4956
Phone Number
860-443-4199
Fax Number
860-444-6145
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
4 Shaws Cv Ste 202
New London, CT 06320-4956
City
New London
State
CT
Zip
06320-4956
Phone Number
860-443-4199
Fax Number
860-444-6145

License Information

License Number
6895
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Janellen G Matyas, DDS?

The NPI number of Dr. Janellen G Matyas, DDS is 1104945708. It was assigned on March 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Janellen G Matyas, DDS?

Dr. Janellen G Matyas, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6895.

Where does Dr. Janellen G Matyas, DDS practice?

The practice location is 4 Shaws Cv Ste 202, New London, CT 06320-4956. The office can be reached at 860-443-4199 (phone) or 860-444-6145 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104945708 directly on the NPPES registry website.

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