DR. MATTHEW JAMES BRONK (NPI# 1679532550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679532550 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES BRONK |
| Other Name | DR. MATTHEW JAMES BRONK, DMD PA |
| Credential | DMD |
| Practice Address |
2218 Rutherford Rd Ste B Marion NC 28752 |
| Mailing Address |
2218 Rutherford Rd Ste B Marion NC 28752-5368 |
| Practice Telephone | 8286527341 |
| Practice Fax Number | 8282886272 |
| Mailing Telephone | 8286527341 |
| Mailing Fax Number | 8282526272 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3392 | SC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10225 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Unit 6180 Box 245, Apo, AE 09604-0245, IT | 0434-30-5060 | |
| 5700 University Pointe Blvd Ste 104, Charlotte, NC 282625026 | 7045498020 |
| Street Address |
2218 RUTHERFORD RD STE B |
| City | MARION |
| State | NC |
| Zip Code | 28752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861604449 | Marion Oral & Maxillofacial Surgeons, Inc. | Dentist | 702 N River Dr, Marion, IN 46952-2647 | 2007-05-04 |
| 1114141793 | Jason P Yanich | Dentist | 1456 Marion Waldo Rd, Marion, OH 43302-7422 | 2007-04-12 |
| 1366551434 | Bernard B Dreiman | Dentist | 1612 N Baldwin Ave, Marion, IN 46952-1872 | 2006-08-30 |
| 1609346949 | Marion Oral & Maxillofacial Surgery, LLC | Dentist | 702 N River Dr, Marion, IN 46952-2647 | 2018-11-29 |
| 1497927081 | Oral & Maxillofacial Surgery Centers Inc | Dentist | 1456 Marion Waldo Rd, Marion, OH 43302-7422 | 2008-03-24 |
| 1386714996 | Appalachian Oral & Maxillofacial Surgery Ltd | Dentist | 645 Park Blvd, Marion, VA 24354-4223 | 2006-11-09 |
| 1235248329 | Oral and Maxillofacial Surgery, P.C. | Dentist | 1612 N Baldwin Ave, Marion, IN 46952-1872 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224495 | Graham H. Wilson, Dds, Pa | Dentist | 7971 Market Street, Wilmington, NC 28411-9383 | 2019-09-13 |
| 1699263137 | John Breeze | Dentist | Duke University Medical Centre, Durham, NC 27710-0001 | 2018-04-30 |
| 1750823746 | Nazir Ahmad Dds V Pa | Dentist | 2500 Blue Ridge Rd Ste 201, Raleigh, NC 27607-7515 | 2016-11-08 |
| 1447600119 | Jason Michael Goldberg | Dentist | 8815 Christenbury Pkwy Ste 40, Concord, NC 28027-0261 | 2016-06-14 |
| 1760839757 | Nazir Ahmad Dds Iv, Pa | Dentist | 3150 Rogers Rd Ste 111, Wake Forest, NC 27587-4196 | 2016-05-19 |
| 1801262530 | Bradley Paul Storrs | Dentist | 6837 Normandy Rd Bldg B, Attn: Charles Bernatovitz, Fort Bragg, NC 28310-0001 | 2015-08-17 |
| 1003296831 | Jesse Eric Ricciuti | Dentist | 10042 Park Cedar Dr Ste B, Charlotte, NC 28210 | 2015-06-07 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1255737078 | Platte Valley Oral & Maxillofacial Surgery LLC | Dentist | 416 Valley View Drive, Suite 800, Scottsbluff, NC 69361-1420 | 2014-11-05 |
| 1780080655 | Robert L Stutts IIi Dmd Paii | Dentist | 200 E Wendover Ave Ste B, Greensboro, NC 27401-1227 | 2014-11-05 |
| Find all providers with the same taxonomy | ||||
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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.