MATTHEW R LARK D.D.S. NPI 1346370178

NPI Information

  • NPI: 1346370178
  • Provider Name: MATTHEW R LARK, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 4315 N HOLLAND SYLVANIA RD
    TOLEDO, OH
    ZIP 43623
  • Phone: (419) 824-7900

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NPI Details

Matthew R Lark, D.D.S. is a general practice dentist in Toledo, OH. 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. Matthew R Lark, D.D.S. NPI is 1346370178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4315 N HOLLAND SYLVANIA RD
TOLEDO, OH
ZIP 43623-507
Phone: (419) 824-7900
Fax: (419) 824-7877

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice30.017159OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10509015MEDICAIDOHIO

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: 3/30/2025

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