DR. MATTHEW DEL MASTRO


Address: 3401 Highway 169 N, Plymouth, MN 55441-2413
Phone: 7635590859

DR. MATTHEW DEL MASTRO (NPI# 1659607653) 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) 1659607653
Entity Type Individual
Full Name DR. MATTHEW DEL MASTRO
Credential DMD
Practice Address 3401 Highway 169 N
Plymouth
MN 55441-2413
Mailing Address 8052 Magnolia Ln N
Maple Grove
MN 55369-7177
Practice Telephone 7635590859
Mailing Telephone 4012582909
Enumeration Date 2009-10-26
Last Update Date 2011-06-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
D12910 MN Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
DN1855145 MA Dental Providers

Office Location

Street Address 3401 HIGHWAY 169 N
City PLYMOUTH
State MN
Zip Code 55441-2413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447323498 Susan Gail Penniston Dentist 3401 Highway 169 N, Plymouth, MN 55441-2413 2006-11-16
1578638946 Thomas Andrew Karn Dentist 3401 Highway 169 N, Plymouth, MN 55441-2413 2006-11-21
1013082882 Mark Richard Jensen Dentist 3401 Highway 169 N, Plymouth, MN 55441-2413 2006-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689190019 The Recovery Clinic LLC Clinic/Center 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 2017-08-17
1356887186 Katherine Marlow Bell Dentist 2805 Campus Dr Ste 245, Plymouth, MN 55441 2017-01-18
1083069538 Mercade Waldon Home Health Aide 3501 Xenium Lane, Plymouth, MN 55441 2016-05-03
1346645538 Phs Westhealth, Inc Skilled Nursing Facility 2775 Campus Drive North, Plymouth, MN 55441 2014-10-30
1427453125 Samuel David Fine Pharmacist 4070 Goldenrod Ln, Plymouth, MN 55441 2014-10-24
1548672538 Scott Aaron Schmidt Dentist 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 2014-05-23
1831498633 Comforide Transportation Services LLC Non-emergency Medical Transport (VAN) 9730 37th Pl N Suite 201, Plymouth, MN 55441 2011-03-18
1255669271 Tammy Kae Mehlhaus Physician Assistant 2855 Campus Drive, Suite 570, Plymouth, MN 55441 2009-12-02
1164758199 Stephen P. Boger, Dds, Pa Dentist 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 2009-10-27
1093908360 Endodontic Professionals Pa Plymouth Endodontics Dentist 3401 Hwy 169 N, Plymouth, MN 55441 2007-08-21
Find all providers in zip 55441

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285252874 Plymouth Endodontics Dentist 9416 S Main St Ste 212, Plymouth, MI 48170-4148 2020-07-09
1093908360 Endodontic Professionals Pa Plymouth Endodontics Dentist 3401 Hwy 169 N, Plymouth, MN 55441 2007-08-21
1083789572 Brent Donald Rundquist Dentist 3401 Highway 169 North, Plymouth, MN 55441-2413 2006-11-21
1447323498 Susan Gail Penniston Dentist 3401 Highway 169 N, Plymouth, MN 55441-2413 2006-11-16
1164506135 Plymouth Dental Associates PC Dentist 42801 Schoolcraft Road, Plymouth, MI 48170 2006-10-25
1437318565 Marco Donadio Dentist 110 Long Pond Rd, Plymouth, MA 02360-2642 2008-06-04
1356469787 Steve J Vlahakis Dentist 9416 S Main St, Suite 212, Plymouth, MI 48170-4148 2007-03-26
1417075847 Dennis Michael Gut Dentist 9416 S Main St, Suite 212, Plymouth, MI 48170-4148 2007-03-26
1578638946 Thomas Andrew Karn Dentist 3401 Highway 169 N, Plymouth, MN 55441-2413 2006-11-21
1013082882 Mark Richard Jensen Dentist 3401 Highway 169 N, Plymouth, MN 55441-2413 2006-11-21
Find all providers in PLYMOUTH

Competitor

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City PLYMOUTH
Zip Code 55441

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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.

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