DR. ROBERT DARRELL MATTESON (NPI# 1306879200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306879200 |
Entity Type | Individual |
Full Name | DR. ROBERT DARRELL MATTESON |
Credential | D.M.D. |
Practice Address |
1340 Tuskawilla Rd 108 Winter Springs FL 32708-5030 |
Mailing Address |
2525 Sweetwater Trl Winter Park FL 32789-0916 |
Practice Telephone | 4076952005 |
Mailing Telephone | 4076799402 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DN8571 | FL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518948553 | Robert C Matteson | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2005-11-08 |
Street Address |
1340 TUSKAWILLA RD 108 |
City | WINTER SPRINGS |
State | FL |
Zip Code | 32708-5030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568415503 | John W Treharne | Family Medicine | 1340 Tuskawilla Rd, Suite 101-105, Winter Springs, FL 32708-5030 | 2006-05-19 |
1841574944 | Winter Springs Chiropractic Center Pa | Chiropractor | 1340 Tuskawilla Rd, Suite 112, Winter Springs, FL 32708-5030 | 2011-10-06 |
1780828426 | Andrea Mccrory | Massage Therapist | 1340 Tuskawilla Rd, Suite 112, Winter Springs, FL 32708-5030 | 2009-04-24 |
1538353685 | James Louis Solana Jr. | Chiropractor | 1340 Tuskawilla Rd, Suite 112, Winter Springs, FL 32708-5030 | 2007-08-31 |
1235200882 | David E Hankins | Optometrist | 1340 Tuskawilla Rd, Ste 107, Winter Springs, FL 32708-5030 | 2006-11-13 |
1326119991 | David Edward Hankins Od Pa | Optometrist | 1340 Tuskawilla Rd, Suite 107, Winter Springs, FL 32708-5030 | 2006-11-13 |
1629098819 | David A Scoppa | Chiropractor | 1340 Tuskawilla Rd, #112, Winter Springs, FL 32708-5030 | 2006-07-20 |
1164478053 | John L Ley | Physician Assistant | 1340 Tuskawilla Rd, Suite 101-105, Winter Springs, FL 32708-5030 | 2006-05-25 |
1548215734 | Lawrence D Kramer | Family Medicine | 1340 Tuskawilla Rd, Suite 101-105, Winter Springs, FL 32708-5030 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558928853 | Veronica-jo Prisco | Social Worker | 580 Old Sanford Road, Winter Springs, FL 32708 | 2019-05-22 |
1083101398 | Kd Medical Choice Inc | Clinical Medical Laboratory | 253 Winding Hollow Blvd, Winter Springs, FL 32708 | 2018-04-23 |
1861921223 | Karen Bova | Nurse Practitioner | 427 S. Buckskin Way, Winter Springs, FL 32708 | 2017-06-08 |
1922530997 | Mayur Vibhakar | Pharmacist | 5840 Red Bug Lake Rd # 1532, Winter Springs, FL 32708 | 2017-03-29 |
1053855379 | Liadys Diaz | Social Worker | 4 Sycamore Ct Apt 102, Winter Springs, FL 32708 | 2016-12-05 |
1225499817 | Tucawilla Villa, LLC | Custodial Care Facility | 995 Tuscawilla Road, Winter Springs, FL 32708 | 2016-03-10 |
1508222100 | Elizabeth Wright | Occupational Therapist | 985 Troon Trce, Winter Springs, FL 32708 | 2016-01-12 |
1790168771 | K Rose Ivey | Counselor | 252 Saxony Ct, Winter Springs, FL 32708 | 2015-07-08 |
1568863165 | Charles Afton Wise | Counselor | 1491 East Sr 434, Suite 104, Winter Springs, FL 32708 | 2014-09-15 |
1174958342 | Jorge Deju | Preventive Medicine | 617 Nighthawk Circle, Winter Springs, FL 32708 | 2013-09-06 |
Find all providers in zip 32708 |
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 |
---|---|---|---|---|
1760986509 | Winter Springs Family Dental, P.a. | Dentist | 5220 Red Bug Lake Rd, Winter Springs, FL 32708-4912 | 2018-03-19 |
1891225496 | Behazin Torkian | Dentist | 1008 Willa Springs Dr Ste 120, Winter Springs, FL 32708-5205 | 2017-06-15 |
1730399031 | Quality Care Dental,p.a. | Dentist | 154 W State Road 434, Winter Springs, FL 32708-2551 | 2007-05-23 |
1043428782 | James Magee IIi | Dentist | 5892 Bedbug Lake Road, Winter Springs, FL 32708 | 2007-05-18 |
1174653711 | Fadi R Aoun | Dentist | 1008 Willa Springs Dr, Ste#120, Winter Springs, FL 32708-5205 | 2007-03-06 |
1962542852 | F.h. Collins IIi | Dentist | 5744 Canton Cv, Winter Springs, FL 32708-5034 | 2007-02-08 |
1801966551 | Jeffrey N. Lang, D.d.s., Pa | Dentist | 890 Northern Way, Suite G, Winter Springs, FL 32708-3880 | 2006-11-09 |
1639275126 | Christopher S Young | Dentist | 5659 Red Bug Lake Rd, Winter Springs, FL 32708-5013 | 2006-09-15 |
1750486833 | Mary Rose Isaacs | Dentist | 5965 Red Bug Lake Rd, Suite 233, Winter Springs, FL 32708-5080 | 2006-09-14 |
1144325283 | Pearl K Burns Dds Pa | Dentist | 5965 Red Bug Lake Rd Unit 233, Winter Springs, FL 32708-5080 | 2006-09-13 |
Find all providers in WINTER SPRINGS |
City | WINTER SPRINGS |
Zip Code | 32708 |
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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.