DR. MATTHEW ALAN HOSTETLER D.D.S. NPI 1417180498

NPI Information

  • NPI: 1417180498
  • Provider Name: DR. MATTHEW ALAN HOSTETLER, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 161 HORIZON DR STE 103C
    VERONA, WI
    ZIP 53593
  • Phone: (608) 845-7350

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NPI Details

DR. Matthew Alan Hostetler, D.D.S. is a general practice dentist in Verona, WI. 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. DR. Matthew Alan Hostetler, D.D.S. NPI is 1417180498. 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:

161 HORIZON DR STE 103C
VERONA, WI
ZIP 53593-250
Phone: (608) 845-7350
Fax: (608) 845-9793

The NPI 1417180498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/25/2009 and was last updated on 8/19/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12011314AINDIANANo
21223G0001XDentistGeneral Practice2901020290MICHIGANNo
31223G0001XDentistGeneral Practice7169-15WISCONSINYes

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: 11/21/2025

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