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MATTESON ORTHODONTICS MDPC
NPI 1295058998
Clinic/Center - Dental in Matteson, IL

Active since March 09, 2010
4440 LINCOLN HWY STE 300, MATTESON, IL 60443(708) 481-6086(708) 481-2525 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matteson Orthodontics Mdpc NPPES

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

MATTESON ORTHODONTICS MDPC (NPI 1295058998) is a healthcare organization registered as a dental in Matteson, Illinois and active in the NPI registry since March 2010. The organization lists Keyur A Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295058998
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMATTESON ORTHODONTICS MDPC
Location Address4440 LINCOLN HWY STE 300Matteson, IL 60443-3804
Mailing Address4440 Lincoln Hwy Ste 300Matteson, IL 60443-3804 · (708) 481-6086 · Fax (708) 481-2525
Phone(708) 481-6086
Fax(708) 481-2525
Organization SubpartNo
Authorized OfficialKeyur A ShahCeo · (708) 481-6086
Enumeration DateMarch 9, 2010
✔ NPI 1295058998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 021002232
4440 LINCOLN HWY STE 300, Matteson, IL 60443
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Other Identifiers 1

Other021002232IL · Ortho License #

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 Matteson Orthodontics Mdpc's NPI number?

The NPI number for Matteson Orthodontics Mdpc is 1295058998. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Matteson Orthodontics Mdpc located?

Matteson Orthodontics Mdpc is located at 4440 Lincoln Hwy Ste 300, Matteson, IL 60443. The listed phone number is (708) 481-6086.

What is Matteson Orthodontics Mdpc'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 Matteson Orthodontics Mdpc was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.