DR. STEPHEN J. MATARAZZO (NPI# 1407040637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407040637 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN J. MATARAZZO |
| Credential | D.M.D. |
| Practice Address |
300 Crown Colony Dr Suite 109 Quincy MA 02169-0904 |
| Practice Telephone | 6174718882 |
| Practice Fax Number | 6174723929 |
| Mailing Telephone | 6174718882 |
| Mailing Fax Number | 6174723929 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14019 | MA | Dental Providers |
| Street Address |
300 CROWN COLONY DR SUITE 109 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275687592 | Dental Associates | Dentist | 300 Crown Colony Dr, Suite 301, Quincy, MA 02169 | 2007-01-23 |
| 1104190610 | Mcmc LLC | Durable Medical Equipment & Medical Supplies | 300 Crown Colony Dr, Suite 203, Quincy, MA 02169-0904 | 2012-03-01 |
| 1134251465 | Stephen J. Matarazzo, D.m.d, PC | Dentist | 300 Crown Colony Dr, Suite 109, Quincy, MA 02169-0904 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352744 | Shahad Hadadi | Dentist | 2 Hancock St Apt 504, Quincy, MA 02171-1769 | 2020-10-08 |
| 1245837152 | Marwan S Al-daggistany | Dentist | 1 Crown Dr Unit 101, Quincy, MA 02169-5474 | 2020-10-04 |
| 1851908180 | Dan Faibish | Dentist | 16 Willow St, Quincy, MA 02170-2013 | 2020-09-30 |
| 1275141764 | Jonathan R. Pyle | Dentist | 2801 Broadway St Ste 400, Quincy, IL 62301-3663 | 2020-07-21 |
| 1891313524 | Alireza Khoshnoodi | Dentist | 1 Avalon Dr, Quincy, MA 02169-2462 | 2020-07-09 |
| 1336781533 | Micheal Abboud | Dentist | 1372 Hancock St Ste 101, Quincy, MA 02169-5107 | 2019-10-09 |
| 1700448099 | Nicole Jeziorski | Dentist | 407 S 48th St, Quincy, IL 62305-9102 | 2019-07-08 |
| 1790341873 | Fernanda Becker-cabral | Dentist | 353 Sea St, Quincy, MA 02169-2707 | 2019-05-14 |
| 1396236642 | Matthew Edward Coletti | Dentist | 111 Willard St Ste 1a, Quincy, MA 02169-1200 | 2018-05-22 |
| 1902318363 | Ahmed Sameer Znad Mihyawi | Dentist | 2 Hancock St Apt 926, Quincy, MA 02171-1772 | 2017-10-25 |
| Find all providers in QUINCY | ||||
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| 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.