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DR. MATTHEW DAVID PAVLICK D.D.S., M.D.
NPI 1568796191
Oral & Maxillofacial Surgery in Kent, OH

Active since September 30, 2009PECOS Enrolled
1551 S WATER ST, KENT, OH 44240(330) 678-6564(330) 676-6973 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew David Pavlick D.d.s., M.d. NPPES

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

DR. MATTHEW DAVID PAVLICK D.D.S., M.D. (NPI 1568796191) is an individual oral & maxillofacial surgery provider in Kent, Ohio, licensed in Ohio (35-097190) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568796191
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MATTHEW DAVID PAVLICKCredential: D.D.S., M.D.
Location Address1551 S WATER STKent, OH 44240-4441
Mailing Address1551 S Water StKent, OH 44240-4441 · (330) 678-6564 · Fax (330) 676-6973
Phone(330) 678-6564
Fax(330) 676-6973
Sole ProprietorYes
Enumeration DateSeptember 30, 2009
Last NPPES UpdateOctober 6, 2011
✔ NPI 1568796191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OH · 35-097190
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 30-023385 (OH)
1551 S WATER ST, Kent, OH 44240
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew David Pavlick D.d.s., M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

STEPHEN J. BELLI D.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1551 S WATER ST
KENT, OH 44240
Portage County (330) 673-6411
SERAFIM N REPPAS DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1551 S WATER ST
KENT, OH 44240
Portage County (330) 678-6564
BELLI & STREIT ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1551 S WATER ST
KENT, OH 44240
Portage County (330) 673-6411

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 Matthew Pavlick's NPI number?

The NPI number for Matthew Pavlick is 1568796191. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Matthew Pavlick located?

Matthew Pavlick practices at 1551 S Water St, Kent, OH 44240. The listed phone number is (330) 678-6564.

What is Matthew Pavlick's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Matthew Pavlick enrolled in Medicare?

Yes. Matthew Pavlick is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Pavlick accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 3 other insurers list Matthew Pavlick 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 Matthew Pavlick was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.