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Contact Information

ANTHONY G. DIMATTEO DDS
914 MAIN STREET
SOUTHBRIDGE, MA01550
 Phone: 508-765-5985
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANTHONY G DIMATTEO DDS · (Female)

NPI Number 1306994702
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2007
Last updated 04/10/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 12696
  • MA License # 12974
  • MA Medicaid 0246409
  • MA Other X10388DR BLUE CROSS BLUE SHIELD
  • MA Other 000112 DELTA DENTAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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