ERICK EVANDRO DI MATTEO
NPI 1295239713
Dentist - Periodontics in Longview, TX

Active since March 20, 2018
444 FOREST SQ STE A, LONGVIEW, TX 75605(903) 758-3329 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Sep 16, 2020, Mar 20, 2018 (3 updates tracked since 2018).

About Erick Evandro Di Matteo NPPES

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

ERICK EVANDRO DI MATTEO (NPI 1295239713) is an individual periodontics provider in Longview, Texas, licensed in Texas (37306) and active in the NPI registry since March 2018. He maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1295239713
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameERICK EVANDRO DI MATTEO
Location Address444 FOREST SQ STE ALongview, TX 75605-4463
Mailing Address3101 Madisina DrCedar Park, TX 78641-2639 · (407) 552-5019
Sole ProprietorNo
Enumeration DateMarch 20, 2018
Last NPPES UpdateAugust 15, 20223 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
NPI 1295239713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in TX · 37306
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.
444 FOREST SQ STE A, Longview, TX 75605

Secondary Practice Location 1

Location 11395 Center Dr # D1-D9Gainesville, FL 32610-3006 · Phone (352) 273-7846

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Periodontics)
444 FOREST SQ STE A
LONGVIEW, TX 75605

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 Erick Di Matteo's NPI number?

The NPI number for Erick Di Matteo is 1295239713. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Erick Di Matteo located?

Erick Di Matteo practices at 444 Forest Sq Ste A, Longview, TX 75605. The listed phone number is (903) 758-3329.

What is Erick Di Matteo's specialty?

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

What insurance does Erick Di Matteo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 9 other insurers list Erick Di Matteo 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 Erick Di Matteo was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.