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CHAD D MATONE DDS PA NPI 1245577329


NPI Information

NPI: 1245577329
Provider Name: CHAD D MATONE DDS PA

Doing Business As: MALVERN DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
230 PINE BLUFF ST
MALVERN, AR
ZIP 72104
Phone: (501) 337-4908
Get Directions

CHAD D MATONE DDS PA is a general practice dentist in Malvern, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHAD D MATONE DDS PA NPI is 1245577329. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Malvern Dental Center.

The provider's business location address is:

230 PINE BLUFF ST
MALVERN, AR
ZIP 72104-228
Phone: (501) 337-4908
Fax: (501) 337-9929

The provider's authorized official is Chad D Matone .
The authorized official title is Owner and has the following contact phone number (901) 490-1293.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 2/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3574ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1164408608MEDICAIDARKANSAS
25Y893OTHERARKANSASARKANSAS BLUE CROSS BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.