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RIVERSIDE DENTAL STUDIO, PC
NPI 1255224739
Clinic/Center - Dental in Baldwinsville, NY

Active since June 02, 2025
2 OSWEGO ST STE 200, BALDWINSVILLE, NY 13027(315) 638-2288(315) 638-4132 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riverside Dental Studio, Pc NPPES

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

RIVERSIDE DENTAL STUDIO, PC (NPI 1255224739) is a healthcare organization registered as a dental in Baldwinsville, New York and active in the NPI registry since June 2025. The organization lists Michael David Mattiacio, President, as its authorized official.

NPPES Registry Identity

NPI1255224739
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRIVERSIDE DENTAL STUDIO, PC
Location Address2 OSWEGO ST STE 200Baldwinsville, NY 13027-2550
Mailing Address2 Oswego St Ste 200Baldwinsville, NY 13027-2550 · (315) 638-2288 · Fax (315) 638-4132
Phone(315) 638-2288
Fax(315) 638-4132
Organization SubpartNo
Authorized OfficialMichael David MattiacioPresident · (315) 885-5885
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1255224739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2 OSWEGO ST STE 200, Baldwinsville, NY 13027
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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 Riverside Dental Studio, PC's NPI number?

The NPI number for Riverside Dental Studio, PC is 1255224739. It was assigned to this organization in the NPPES registry on June 2, 2025.

Where is Riverside Dental Studio, PC located?

Riverside Dental Studio, PC is located at 2 Oswego St Ste 200, Baldwinsville, NY 13027. The listed phone number is (315) 638-2288.

What is Riverside Dental Studio, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Riverside Dental Studio, PC was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.