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J A MASTROMATTEO DDS PLLC
NPI 1295075034
Clinic/Center - Dental in Lake Orion, MI

Active since February 14, 2013
312 S BROADWAY ST, LAKE ORION, MI 48362(248) 693-1331(248) 693-1385 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About J A Mastromatteo Dds Pllc NPPES

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

J A MASTROMATTEO DDS PLLC (NPI 1295075034) is a healthcare organization registered as a dental in Lake Orion, Michigan and active in the NPI registry since February 2013. The organization lists Joseph Anthony Mastromatteo, President, as its authorized official.

NPPES Registry Identity

NPI1295075034
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJ A MASTROMATTEO DDS PLLC
Location Address312 S BROADWAY STLake Orion, MI 48362-2794
Mailing Address312 S Broadway StLake Orion, MI 48362-2794 · (248) 693-1331 · Fax (248) 693-1385
Phone(248) 693-1331
Fax(248) 693-1385
Organization SubpartNo
Authorized OfficialJoseph Anthony MastromatteoPresident · (248) 693-1331
Enumeration DateFebruary 14, 2013
Last NPPES UpdateOctober 8, 2013
✔ NPI 1295075034 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 MI · JM008259
312 S BROADWAY ST, Lake Orion, MI 48362
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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 J A Mastromatteo Dds PLLC's NPI number?

The NPI number for J A Mastromatteo Dds PLLC is 1295075034. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is J A Mastromatteo Dds PLLC located?

J A Mastromatteo Dds PLLC is located at 312 S Broadway St, Lake Orion, MI 48362. The listed phone number is (248) 693-1331.

What is J A Mastromatteo Dds PLLC'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 J A Mastromatteo Dds PLLC was last updated on October 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.