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DR. NICHOLAS RUDOLPH MATACK DDS
NPI 1194020719
Dentist in Duluth, MN

Active since January 12, 2011
421 E 4TH ST, DULUTH, MN 55805(218) 727-1448 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas Rudolph Matack Dds NPPES

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

DR. NICHOLAS RUDOLPH MATACK DDS (NPI 1194020719) is an individual dentist in Duluth, Minnesota, licensed in Minnesota (D13811) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1194020719
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NICHOLAS RUDOLPH MATACKCredential: DDS
Location Address421 E 4TH STDuluth, MN 55805-1935
Mailing Address1415 Mississippi AveDuluth, MN 55811 · (218) 310-5902
Phone(218) 727-1448
Sole ProprietorNo
Enumeration DateJanuary 12, 2011
Last NPPES UpdateDecember 20, 2017
✔ NPI 1194020719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13811
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.
421 E 4TH ST, Duluth, MN 55805
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Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DR. ROBERT J MOHS D.D.S.
Dentist (General Practice)
421 E 4TH ST
DULUTH, MN 55805
St. Louis County (218) 727-1448
CHART AND MOHS DENTISTRY P.A.
Dentist
421 E 4TH ST
DULUTH, MN 55805
St. Louis County (218) 727-1448

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 Nicholas Matack's NPI number?

The NPI number for Nicholas Matack is 1194020719. It was assigned to this individual provider in the NPPES registry on January 12, 2011.

Where is Nicholas Matack located?

Nicholas Matack practices at 421 E 4th St, Duluth, MN 55805. The listed phone number is (218) 727-1448.

What is Nicholas Matack's specialty?

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

What insurance does Nicholas Matack accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Nicholas Matack 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 Nicholas Matack was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.