MARTIN J MATOVICH DMD LLC (NPI# 1013480573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013480573 |
| Entity Type | Organization |
| Organization Name | MARTIN J MATOVICH DMD LLC |
| Practice Address |
300 Se 120th Ave Ste 400 Vancouver WA 98683-4020 |
| Practice Telephone | 3602563570 |
| Mailing Telephone | 3602563570 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DR. MARTIN J MATOVICH (PRESIDENT) |
| Authorized Official Telephone | 3602563570 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
300 SE 120TH AVE STE 400 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982705364 | Steven Theron Darling | Dentist | 300 Se 120th Ave Ste 400, Vancouver, WA 98683-4020 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282313 | Darius Arlauskas Dmd Pllc | Clinic/Center | 11215 Ne Fourth Plain Blvd Ste 106, Vancouver, WA 98662-5705 | 2020-07-08 |
| 1720553993 | Michael Jensen Dmd PC | Clinic/Center | 406 Se 131st Ave Ste 202, Vancouver, WA 98683-4013 | 2018-10-03 |
| 1104329994 | The Dentist@felida | Clinic/Center | 10710 Nw Lakeshore Ave, Vancouver, WA 98685-4786 | 2018-03-17 |
| 1528573870 | Christopher B Bessey, Dds, Pllc | Clinic/Center | 12116 Se Mill Plain Blvd Ste 3, Vancouver, WA 98684-6000 | 2017-12-08 |
| 1588117568 | Salmon Creek Family Dental | Clinic/Center | 2515 Ne 134th St, Suite 200, Vancouver, WA 98686-3041 | 2016-07-26 |
| 1164898342 | Special Delivery Dental Care, Pllc | Clinic/Center | 16500 Se 15th St Ste 150, Vancouver, WA 98683-9667 | 2015-08-11 |
| 1225451800 | Sharma Access Dental Ps | Clinic/Center | 1412 Ne 134th St Ste 140, Vancouver, WA 98685-2720 | 2014-02-01 |
| 1467895870 | Half Dental Wa Inc. | Clinic/Center | 910 Ne Minnehaha St Ste 12, Vancouver, WA 98665-8749 | 2013-04-16 |
| 1205147840 | New Day Community Dental Clinic | Clinic/Center | 1201 Se Tech Center Dr Ste 150, Vancouver, WA 98683-5523 | 2010-06-29 |
| 1750516639 | Nutterwilson Pllc | Clinic/Center | 601 Se 117th Ave Ste 230, Vancouver, WA 98683-5297 | 2009-05-21 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.