MATTHEW AUGUST SANDRETTI (NPI# 1508276460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508276460 |
| Entity Type | Individual |
| Full Name | MATTHEW AUGUST SANDRETTI |
| Credential | DDS |
| Practice Address |
9727 Elk Grove Florin Rd Elk Grove CA 95624-2264 |
| Practice Telephone | 9167688144 |
| Mailing Telephone | 9167688144 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
64522 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0442000194 | VA | Dental Providers |
| Street Address |
9727 ELK GROVE FLORIN RD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820950 | Michael Wang | Optometrist | 9727 Elk Grove Florin Rd, #190, Elk Grove, CA 95624-2264 | 2005-06-09 |
| 1073051181 | Theodore Javelosa Celeste | Massage Therapist | 9727 Elk Grove Florin Rd, Suite 290, Elk Grove, CA 95624-2264 | 2017-02-09 |
| 1578991832 | Jason Sazama | Specialist/Technologist, Other | 9727 Elk Grove Florin Rd, Suite 160, Elk Grove, CA 95624-2264 | 2013-10-24 |
| 1669800116 | Axg Sleep Diagnostics LLC | Clinic/Center | 9727 Elk Grove Florin Rd, Suite 160, Elk Grove, CA 95624-2264 | 2013-10-20 |
| 1407183593 | El Hadi Mouderres Md Inc | Psychiatry & Neurology | 9727 Elk Grove Florin Rd, Suite 120, Elk Grove, CA 95624-2291 | 2009-11-10 |
| 1972656767 | Donald Paul Rollofson | Dentist | 9727 Elk Grove Florin Rd, 280, Elk Grove, CA 95624-2264 | 2007-01-18 |
| 1235280793 | Allan R Au Md Inc | Allergy & Immunology | 9727 Elk Grove Florin Rd, Suite 180, Elk Grove, CA 95624-2264 | 2007-01-12 |
| 1619040128 | Michael David Moore | Dentist | 9727 Elk Grove Florin Rd, Suite 115, Elk Grove, CA 95624-2264 | 2006-11-15 |
| 1770653404 | Roger J. Reich D.d.s. Inc. | Dentist | 9727 Elk Grove Florin Rd, Suite 270, Elk Grove, CA 95624-2264 | 2006-11-09 |
| 1962599118 | Elk Grove Family Physicians Medical Group Inc | Family Medicine | 9727 Elk Grove Florin Rd, Ste. 140, Elk Grove, CA 95624-2264 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629484985 | Daniel Hulme | Dentist | 5010 Laguna Blvd Ste 101, Elk Grove, CA 95758-4148 | 2014-07-08 |
| 1134243470 | George Shannon Mayweather | Dentist | 8013 Laguna Blvd Ste 1, Elk Grove, CA 95758-7920 | 2007-03-19 |
| 1770647208 | John Anthony Oshetski | Dentist | 9340 W Stockton Blvd, 110, Elk Grove, CA 95758-8014 | 2006-12-20 |
| 1144388398 | Mark S Douglas | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2006-12-04 |
| 1073680492 | Gregory Lee Adams | Dentist | 7915 Laguna Blvd Ste 160, Elk Grove, CA 95758-7944 | 2006-11-29 |
| 1477566925 | John Douglas Webber | Dentist | 9717 Elk Grove Florin Rd, #d, Elk Grove, CA 95624-2262 | 2006-08-15 |
| 1174939581 | Chrishell Yates | Dentist | 5010 Laguna Blvd, Ste 101, Elk Grove, CA 95758-4148 | 2014-07-07 |
| 1164789913 | Amanda Zhan Chen | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2012-04-18 |
| 1376797209 | Steven Harvey Scott | Dentist | 3001 Vaux Ave, Suite 1, Elk Grove, CA 95758-7470 | 2008-11-05 |
| 1962604389 | Vincent T Chiappone | Dentist | 9340 W Stockton Blvd, Suite 110, Elk Grove, CA 95758-8014 | 2007-06-05 |
| Find all providers in ELK GROVE | ||||
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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.