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MATTHEW LISTIYO DMD
NPI 1104472778
Dentist in Ontario, CA

Active since August 10, 2019
1361 E 4TH ST, ONTARIO, CA 91764(916) 420-3989 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2019, Aug 10, 2019 (2 updates tracked since 2019).

About Matthew Listiyo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW LISTIYO DMD (NPI 1104472778) is an individual dentist in Ontario, California, licensed in California (DDS103994) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1104472778
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMATTHEW LISTIYOCredential: DMD
Location Address1361 E 4TH STOntario, CA 91764-3035
Mailing Address1361 E 4th StOntario, CA 91764-3035
Phone(916) 420-3989
Sole ProprietorNo
Enumeration DateAugust 10, 2019
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
✔ NPI 1104472778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS103994
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1361 E 4TH ST, Ontario, CA 91764
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVINDERPAL SINGH NAGRA
Dentist (General Practice)
1361 E 4TH ST
ONTARIO, CA 91764
San Bernardino County (909) 933-3531
DR. ALI SHAHZAD GHAJAR DDS
Dentist (General Practice)
1361 E 4TH ST
ONTARIO, CA 91764
San Bernardino County (909) 933-3531
DR. ANTOINE G HAGGAR DDS
Dentist
1361 E 4TH ST
ONTARIO, CA 91764
San Bernardino County (909) 933-3531
ALI SHAHZAD- GHAJAR DDS INC
Dentist
1361 E 4TH ST
ONTARIO, CA 91764
San Bernardino County (909) 933-3531
MANI MATIN
Dentist
1361 E 4TH ST
ONTARIO, CA 91764
San Bernardino County (703) 946-6412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Listiyo's NPI number?

The NPI number for Matthew Listiyo is 1104472778. It was assigned to this individual provider in the NPPES registry on August 10, 2019.

Where is Matthew Listiyo located?

Matthew Listiyo practices at 1361 E 4th St, Ontario, CA 91764. The listed phone number is (916) 420-3989.

What is Matthew Listiyo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Matthew Listiyo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Matthew Listiyo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Listiyo was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.