CHAD D MATONE DDS PA (NPI# 1245577329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245577329 |
| Entity Type | Organization |
| Organization Name | CHAD D MATONE DDS PA |
| Other Organization Name | MALVERN DENTAL CENTER |
| Practice Address |
230 Pine Bluff St Malvern AR 72104-4228 |
| Practice Telephone | 5013374908 |
| Practice Fax Number | 5013379929 |
| Mailing Telephone | 5013374908 |
| Mailing Fax Number | 5013379929 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | DR. CHAD D MATONE (OWNER) |
| Authorized Official Telephone | 9014901293 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3574 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 164408608 | 05 | |
| AR | ARKANSAS BLUE CROSS BLUE SHEILD | 5Y893 | 01 |
| Other Name | Type Code |
|---|---|
| Malvern Dental Center | Doing Business As Name - Organization |
| Street Address |
230 PINE BLUFF ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942312228 | David L Brewer | Dentist | 230 Pine Bluff St, Malvern, AR 72104 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073954574 | Efird & Teale Dentistry | Dentist | 927 South Main, Malvern, AR 72104-4507 | 2013-07-12 |
| 1750570107 | Victor F. Wallace | Dentist | 31 Pueblo Trl, Malvern, OH 44644-9528 | 2007-10-22 |
| 1144415597 | Juan Carlos Mora | Dentist | 22 Mystic Ln, Suite A, Malvern, PA 19355-1942 | 2007-09-10 |
| 1710078803 | Lisa Lynn Loftis | Dentist | 306 S Ash St, Malvern, AR 72104-3918 | 2006-09-27 |
| 1093729998 | Jeffry B Herrick | Dentist | 458 E King Rd, Malvern, PA 19355-3049 | 2006-07-28 |
| 1336168772 | Edward Oliver | Dentist | 372 Coral Rd, Malvern, AR 72104-7108 | 2006-07-18 |
| 1104873439 | Ronald Kenneth Heier | Dentist | 100 Deerfield Ln, Suite 290, Malvern, PA 19355-2100 | 2006-05-30 |
| 1922457332 | Michael Lindsey Kinard | Dentist | 927 S Main St, Malvern, AR 72104-5220 | 2016-06-07 |
| 1093145252 | Teale Dentistry, Pa | Dentist | 927 S Main St, Malvern, AR 72104-5220 | 2013-11-25 |
| 1467785451 | Williams Family Dentistry | Dentist | 372 Coral Rd, Malvern, AR 72104-7108 | 2009-09-09 |
| Find all providers in MALVERN | ||||
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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.