DR. MATTHEW A DIETRICH (NPI# 1740489038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740489038 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW A DIETRICH |
| Credential | D.D.S |
| Practice Address |
3900 Sunforest Ct Suite 232 Toledo OH 43623-4475 |
| Mailing Address |
11002 London Cir Arcadia OK 73007-1000 |
| Practice Telephone | 4194727668 |
| Mailing Telephone | 3193318048 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
30.023403 | OH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
08501 | IA | Dental Providers |
| Street Address |
3900 SUNFOREST CT SUITE 232 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347124 | Rekha Trivedi | Physical Medicine & Rehabilitation | 3900 Sunforest Ct, Ste 215, Toledo, OH 43623-4440 | 2005-06-24 |
| 1780062281 | Rapid Rehab LLC | Physical Therapist | 3900 Sunforest Ct, Suite 212, Toledo, OH 43623-4475 | 2015-05-15 |
| 1164693875 | Lindsay Nicole Folk | Physical Therapist | 3900 Sunforest Ct, Suite 135, Toledo, OH 43623-4475 | 2008-03-20 |
| 1225207095 | Fernando Crotte Md - Tlc LLC | Internal Medicine | 3900 Sunforest Ct, Suite 229, Toledo, OH 43623-4475 | 2008-02-26 |
| 1285811307 | Monica J. Young Md LLC | Family Medicine | 3900 Sunforest Ct, Suite 227, Toledo, OH 43623-4475 | 2008-01-31 |
| 1811186539 | Urology Associates of Nw Ohio, Inc. | Urology | 3900 Sunforest Ct, Suite 223, Toledo, OH 43623-4475 | 2007-10-18 |
| 1568656627 | Robert L Kalb Md Inc | Durable Medical Equipment & Medical Supplies | 3900 Sunforest Ct, Suite 119, Toledo, OH 43623-4475 | 2007-08-31 |
| 1780874305 | Jason Robert Rotar | Physical Therapist | 3900 Sunforest Ct, Ste 119, Toledo, OH 43623-4440 | 2007-07-30 |
| 1700085974 | Kendra Coy | Physical Therapy Assistant | 3900 Sunforest Ct, Suite 135, Toledo, OH 43623-4475 | 2007-07-17 |
| 1841499118 | Debbie Bolduc | Physical Therapy Assistant | 3900 Sunforest Ct, Suite 135, Toledo, OH 43623-4475 | 2007-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194876482 | David Francis O'connor | Dentist | 4352 W Sylvania Ave, Ste D, Toledo, OH 43623-3463 | 2007-01-15 |
| 1558450320 | Carl L Marion | Dentist | 2814 W Central Ave, Toledo, OH 43606-3019 | 2006-10-12 |
| 1659582757 | David Carter | Dentist | 4352 W Sylvania Ave, Suite D, Toledo, OH 43623-3463 | 2007-05-24 |
| 1609982230 | Alexander Stuart Armstrong | Dentist | 4352 Sylvania Ave, Suite G, Toledo, OH 43623 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745868 | Iman Attar | Dentist | 2828 Euclid Ave Apt 207, Cleveland, OH 44115-2470 | 2019-08-15 |
| 1609421684 | Columbus Endodontic Specialists | Dentist | 7334 E Broad St Ste C, Blacklick, OH 43004-9239 | 2019-08-06 |
| 1336619873 | Alvaro Rodriguez | Dentist | 26200 George Zeiger Dr Apt 303, Beachwood, OH 44122-7533 | 2018-11-27 |
| 1942725551 | Meckler Dental Providers, Inc. | Dentist | 3455 Center Rd, Brunswick, OH 44212-3688 | 2017-08-04 |
| 1023532421 | Ddc Endodontics LLC | Dentist | 23250 Mercantile Rd Ste 110, Beachwood, OH 44122-5928 | 2017-07-28 |
| 1912428228 | Ghaeth H Yassen | Dentist | 2124 Cornell Drive, Cwru School of Dental Medicine, Cleveland, OH 44106 | 2017-06-28 |
| 1518401108 | Lev, Berberich, Stabile, Direnzo Ltd | Dentist | 8740 E Market St, Warren, OH 44484-2324 | 2016-12-15 |
| 1003359258 | Paul F Siegel Dds Inc | Dentist | 9403 Kenwood Rd Ste B205, Blue Ash, OH 45242-6829 | 2016-11-21 |
| 1346796869 | Professional Dental Alliance Specialty, LLC | Dentist | 7131 Spring Meadows Dr W, Suite C, Holland, OH 43528-7939 | 2016-08-26 |
| 1669847463 | Magdy Beshay | Dentist | 1129 E Aurora Rd Ste 102, Macedonia, OH 44056-1988 | 2015-12-04 |
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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.