DR. MATTHEW DESIDERIO DMD
NPI 1851915789
Dentist in La Mesa, CA

Active since June 06, 2020
3767 AVOCADO BLVD, LA MESA, CA 91941(619) 729-2323 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2021, Jun 6, 2020 (2 updates tracked since 2020).

About Dr. Matthew Desiderio Dmd NPPES

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

DR. MATTHEW DESIDERIO DMD (NPI 1851915789) is an individual dentist in La Mesa, California, licensed in California (106958) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1851915789
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MATTHEW DESIDERIOCredential: DMD
Location Address3767 AVOCADO BLVDLa Mesa, CA 91941-7301
Mailing Address424 15th St Apt 1504San Diego, CA 92101-7698 · (609) 781-5660
Sole ProprietorYes
Enumeration DateJune 6, 2020
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
NPI 1851915789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 106958
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3767 AVOCADO BLVD, La Mesa, CA 91941

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist
3767 AVOCADO BLVD
LA MESA, CA 91941
Dentist (General Practice)
3767 AVOCADO BLVD
LA MESA, CA 91941
Dentist (General Practice)
3767 AVOCADO BLVD
LA MESA, CA 91941
Dentist (General Practice)
3767 AVOCADO BLVD
LA MESA, CA 91941
Dentist
3767 AVOCADO BLVD
LA MESA, CA 91941
Dentist
3767 AVOCADO BLVD
LA MESA, CA 91941

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 Desiderio's NPI number?

The NPI number for Matthew Desiderio is 1851915789. It was assigned to this individual provider in the NPPES registry on June 6, 2020.

Where is Matthew Desiderio located?

Matthew Desiderio practices at 3767 Avocado Blvd, La Mesa, CA 91941. The listed phone number is (619) 729-2323.

What is Matthew Desiderio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Matthew Desiderio 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 HRI Dental & Vision and 4 other insurers list Matthew Desiderio 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 Desiderio was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.