MATTHEW A MONACO DDS,LLC (NPI# 1235679515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235679515 |
| Entity Type | Organization |
| Organization Name | MATTHEW A MONACO DDS,LLC |
| Other Organization Name | MERIDIAN PARK ORAL SURGERY |
| Practice Address |
3465 E Meridian Park Loop Suite A Wasilla AK 99654-7264 |
| Practice Telephone | 9073736670 |
| Practice Fax Number | 9083122525 |
| Mailing Telephone | 9073736670 |
| Mailing Fax Number | 9083122525 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | DR. MATTHEW MONACO (OWNER) |
| Authorized Official Telephone | 9073736670 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
AK | Dental Providers |
| Other Name | Type Code |
|---|---|
| Meridian Park Oral Surgery | Doing Business As Name - Organization |
| Street Address |
3465 E MERIDIAN PARK LOOP SUITE A |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174709927 | Summit Oral Surgery LLC | Dentist | 1700 E Bogard Rd Ste B202, Wasilla, AK 99654-6570 | 2008-01-10 |
| 1861549909 | Richard H. Day | Dentist | 1700 Bogard Rd Bldg B Suite 202, Wasilla, AK 99654-6563 | 2007-01-04 |
| 1235131392 | Matthew Anthony Monaco | Dentist | 3465 E. Meridian Park Loop, Suite A, Wasilla, AK 99654 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215446042 | Frontier Oral & Maxillofacial Surgery LLC | Dentist | 3220 Providence Dr Ste E3-080, Anchorage, AK 99508-4657 | 2017-09-25 |
| 1063710994 | Fairbanks Oral Surgery, LLC | Dentist | 12810 Glen Alps Rd, Anchorage, AK 99516-6956 | 2011-03-01 |
| 1760619118 | Bradley John Szutz | Dentist | 1200 Airport Heights Dr. Suite #265, Anchorage, AK 99508 | 2009-06-12 |
| 1689810707 | Alaska Oral Surgery Group, P.C. | Dentist | 1200 Airport Heights Dr Ste 265, Anchorage, AK 99508-2988 | 2008-12-18 |
| 1023145026 | Sarah J Satow | Dentist | 114 Minnie St., Suite D, Fairbanks, AK 99701 | 2007-02-27 |
| 1194745570 | David M. Edwards | Dentist | 3330 Windlass Cir, Anchorage, AK 99516-3438 | 2006-07-20 |
| 1225058977 | Ray A. Holloway | Dentist | 111 W 16th Ave, Suite 203, Anchorage, AK 99501-6206 | 2006-07-19 |
| 1205869245 | Frederick Karl Reinbold | Dentist | 2000 Abbott Rd Ste 200, Anchorage, AK 99507-3867 | 2006-07-09 |
| 1679506638 | John Louis Drager | Dentist | 800 E. Dimond Ste 3-535, Anchorage, AK 99515 | 2006-07-09 |
| 1699735050 | Leonardo Manuel Rios-andersen | Dentist | 12641 Old Glenn Hwy Ste 103, Eagle River, AK 99577-7040 | 2006-03-28 |
| Find all providers with the same taxonomy | ||||
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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.