ERICK EVANDRO DI MATTEO


Address: 1395 Center Dr # D1-d9, Gainesville, FL 32610-3006
Phone: 3522737846

ERICK EVANDRO DI MATTEO (NPI# 1295239713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295239713
Entity Type Individual
Full Name ERICK EVANDRO DI MATTEO
Practice Address 1395 Center Dr # D1-d9
Gainesville
FL 32610-3006
Mailing Address 5333 Sw 75th St Apt F39
Gainesville
FL 32608-7449
Practice Telephone 3522737846
Mailing Telephone 4075525019
Enumeration Date 2018-03-20
Last Update Date 2020-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
DRPM1832 FL Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1395 CENTER DR # D1-D9
City GAINESVILLE
State FL
Zip Code 32610-3006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003440660 Thy Cam Huynh Occupational Therapist 1549 Gale Lemerand Dr, Gainesville, FL 32610 2020-02-23
1093359226 Lauren Anne Ruddocks Dentist University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 2019-10-31
1104310549 Brandon Lucke-wold Neurological Surgery 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 2018-06-19
1619465754 Carlos Eduardo Vervloet Sollero Student in an Organized Health Care Education/Training Program 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 2018-04-24
1811359151 Ramsha A. Kudia Internal Medicine 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 2016-03-25
1447619937 Wajdi Mohammed Dentist 1395 Center Dr., D8-6, Gainesville, FL 32610 2016-02-12
1922484344 Kavan Ashit Gandhi Dentist 1395 Center Drive D7-19, Gainesville, FL 32610 2015-08-07
1972981512 David Shin Student in an Organized Health Care Education/Training Program 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 2015-05-15
1669887485 Alejandro Jose Delgado Dentist 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 2014-07-01
1194167296 Zain Shahid Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 2013-07-18
Find all providers in zip 32610

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033629894 Swati Gupta Dentist Grad Perio Clinic 1395 Center Drive D1-19, Gainesville, FL 32610-0001 2017-10-06
1164873485 Juliana Sardenberg Dentist 1395 Center Dr # D1-19, Gainesville, FL 32610-6550 2016-06-28
1659732824 Frederico Duarte Da Silva Dentist 2300 Sw 43rd St Apt A6, Gainesville, FL 32607-3826 2016-03-15
1053709733 Justin C. Craighead Dmd, Ms, Pl Dentist 3720 Nw 43rd St Ste 102, Gainesville, FL 32606-6190 2015-01-02
1215241039 Daniel Ryan Noorthoek Dentist 453 Pumpkin Dr., Gainesville, FL 33410 2010-08-04
1164571162 Joseph E. Barclay Dentist 1206b Sherwood Park Dr Ne, Gainesville, GA 30501-3445 2007-01-09
1407937808 John Delano Mixon Sr. Dentist 1205 Sherwood Park Drive, Gainesville, GA 30501 2006-10-18
1497860902 Caleb Jewett King IIi Dentist 5014 Nw 27th Ct, Gainesville, FL 32606-6545 2006-08-21
1710092036 Richard Watson Oliver Jr. Dentist 5014 Nw 27th Court, Gainesville, FL 32606-6545 2006-08-19
1013925502 Gary Ian Altschuler Dentist 2251 Nw 41st St, Suite F, Gainesville, FL 32606-7498 2006-08-03
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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