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DR. MICHAEL WILLIAM MATISKO JR. D.M.D., M.S.D.
NPI 1124165915
Dentist - Periodontics in Monroeville, PA

Active since January 31, 2007
170 JAMISON LN, MONROEVILLE, PA 15146(412) 823-8908(412) 349-0097 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael William Matisko Jr. D.m.d., M.s.d. NPPES

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

DR. MICHAEL WILLIAM MATISKO JR. D.M.D., M.S.D. (NPI 1124165915) is an individual periodontics provider in Monroeville, Pennsylvania, licensed in Pennsylvania (DS-025303-L) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124165915
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL WILLIAM MATISKO JR.Credential: D.M.D., M.S.D.
Location Address170 JAMISON LNMonroeville, PA 15146-2327
Mailing Address170 Jamison LnMonroeville, PA 15146-2327 · (412) 823-8908 · Fax (412) 349-0097
Phone(412) 823-8908
Fax(412) 349-0097
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124165915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PA · DS-025303-L
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
170 JAMISON LN, Monroeville, PA 15146
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Other Providers at the Same Location NPPES 4

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

DR. RICHARD STEVEN SEPESY JR. DMD
Dentist
170 JAMISON LN
MONROEVILLE, PA 15146
Allegheny County (412) 824-9060
RICHARD S SEPESY DDS LTD
Dentist (General Practice)
170 JAMISON LN
MONROEVILLE, PA 15146
Allegheny County (412) 824-9060
DR. MARK S PECHERSKY DMD
Dentist (Pediatric Dentistry)
170 JAMISON LN
MONROEVILLE, PA 15146
Allegheny County (412) 823-2450
DR. MARK ANTHONY RICARD I DMD
Dentist (General Practice)
170 JAMISON LN
MONROEVILLE, PA 15146
Allegheny County (412) 823-0123

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 Michael Matisko's NPI number?

The NPI number for Michael Matisko is 1124165915. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Michael Matisko located?

Michael Matisko practices at 170 Jamison Ln, Monroeville, PA 15146. The listed phone number is (412) 823-8908.

What is Michael Matisko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Michael Matisko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.