MR. CHARLES W MATTY


Address: 1855 Daimler Rd, Rockford, IL 61112
Phone: 8153977717

MR. CHARLES W MATTY (NPI# 1598850273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598850273
Entity Type Individual
Full Name MR. CHARLES W MATTY
Credential DDS
Practice Address 1855 Daimler Rd
Rockford
IL 61112
Practice Telephone 8153977717
Practice Fax Number 8153977719
Mailing Telephone 8153977717
Mailing Fax Number 8153977719
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
IL Dental Providers

Office Location

Street Address 1855 DAIMLER RD
City ROCKFORD
State IL
Zip Code 61112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457801755 Forest City Dental PC Durable Medical Equipment & Medical Supplies 1855 Daimler Rd, Rockford, IL 61112-1063 2016-10-11
1679697379 James Stovall Dentist 1855 Daimler Rd, Rockford, IL 61112-1063 2007-03-19
1750405445 Forest City Dental Dentist 1855 Daimler Rd, Rockford, IL 61112-1063 2007-03-19
1235253931 Sarah Brooke Stovall Dentist 1855 Daimler Rd, Rockford, IL 61112-1063 2007-03-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215213475 Matthew Caleb Beary Physical Therapist 1545 Temple Lane, Rockford, IL 61112 2011-11-01
1730469206 Herman Chen Pharmacist 2206 Barnes Blvd, Rockford, IL 61112 2011-08-27
1942317607 James Edward Nijoka Dentist 1855 Daimler Road, Rockford, IL 61112 2006-08-25
1053366591 Vincent R Facchiano Optometrist E265 Cherryvale Mall, Rockford, IL 61112 2006-05-23
1780616029 Daniel Gordon Thorstenson Chiropractor 1877 Daimler Rd, Rockford, IL 61112-1005 2006-07-07
1760800221 Brock Stephen Field Chiropractor 1877 Daimler Rd, Rockford, IL 61112-1005 2014-04-02
1629366489 Craig Anthony Stear Jr. Chiropractor 1877 Daimler Rd, Rockford, IL 61112-1005 2011-07-14
1104931427 Hulsebus Rockford Chiropractic Chiropractor 1877 Daimler Rd, Rockford, IL 61112-1005 2006-08-19
1215958970 Michael John Hulsebus Chiropractor 1877 Daimler Rd, Rockford, IL 61112-1005 2006-07-21
1124049887 Martin D Brantner Chiropractor 1877 Daimler Rd, Rockford, IL 61112-1005 2006-07-21
Find all providers in zip 61112

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386252344 Kacie Crowell Green Dentist 8900 Walnut St # 459, Rockford, MN 55373-5135 2020-07-16
1730547936 Perryville Dentist PC Dentist 845 S Perryville Rd, Unit 119, Rockford, IL 61108 2016-02-02
1295192144 Woolery Dental P.C. Dentist 5301 E State St Ste 306, Rockford, IL 61108-2390 2016-01-23
1467849679 Christopher Lee Greenwaldt Dentist 845 S Perryville Rd Unit 127, Rockford, IL 61108-4340 2015-04-26
1427463785 Yong Woo Lee Dentist 7310 Walton St, Rockford, IL 61108-4614 2014-06-25
1750624110 Austriaco Dental Associates LLC Dentist 7310 Walton St Ste A, Rockford, IL 61108-4614 2013-04-03
1609173749 Kathryn Ashley Edgcomb Dentist 1376 Reid Farm Rd, Rockford, IL 61107-2679 2011-02-25
1629393962 Affordable Dentistry Today Dentist 5819 E Riverside Blvd # 21, Rockford, IL 61114-4963 2010-03-30
1346563525 Modern Dental of Rockford LLC Dentist 1321 Sandy Hollow Rd, Rockford, IL 61109-2120 2010-03-02
1063667079 Wilson Dental, PC Dentist 610 E. Division, Rockford, MI 49341 2008-11-19
Find all providers in ROCKFORD

Competitor

Search similar providers

City ROCKFORD
Zip Code 61112

Improve Information

Please comment or provide details below to improve the information on MR. CHARLES W MATTY.

Dataset Information

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.

Trending Searches