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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

NPI # 1306994702
LBN Legal business name ANTHONY G. DIMATTEO DDS
Authorized official ANTHONY DIMATTEO - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 04/10/2012 - About 14 years ago
Identifiers
MA License # 12696
MA License # 12974
MA Medicaid 0246409
MA Other X10388DR BLUE CROSS BLUE SHIELD
MA Other 000112 DELTA DENTAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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