Active NPIIndividual providerSole proprietor

Andrea M Mattia, DDS

Dentist, Pediatric Dentistry in Old Tappan, New Jersey

NPI Number1669547790
Practice location
175 Old Tappan RD, Old Tappan, NJ 07675-7042
Fax
201-768-0183
Last updated
July 8, 2007

Andrea M Mattia is a Dentist, Pediatric Dentistry based in Old Tappan, NJ. Andrea M Mattia practices in Old Tappan, NJ and has the professional credentials of DDS. The NPI Number for Andrea M Mattia is 1669547790 and holds a License No. 22DI02135500 (NJ). The current practice location address for Andrea M Mattia is 175 Old Tappan RD, Old Tappan, NJ 07675-7042 and can be reached out via phone at 201-768-7100 and via fax at 201-768-0183.

Provider Profile Details

NPI Number
1669547790
Provider Name
Andrea M Mattia
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
175 Old Tappan RD, Old Tappan, NJ 07675-7042
Phone Number
201-768-7100
Fax Number
201-768-0183
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Old Tappan RD
Old Tappan, NJ 07675-7042
Zip
07675-7042
Phone Number
201-768-7100
Fax Number
201-768-0183
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
175 Old Tappan RD
Old Tappan, NJ 07675-7042
City
Old Tappan
State
NJ
Zip
07675-7042
Phone Number
201-768-7100
Fax Number
201-768-0183

License Information

License Number
22DI02135500
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Andrea M Mattia, DDS?

The NPI number of Andrea M Mattia, DDS is 1669547790. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrea M Mattia, DDS?

Andrea M Mattia, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02135500.

Where does Andrea M Mattia, DDS practice?

The practice location is 175 Old Tappan RD, Old Tappan, NJ 07675-7042. The office can be reached at 201-768-7100 (phone) or 201-768-0183 (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 1669547790 directly on the NPPES registry website.

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