DR. BRIAN L MATTIACIO


Address: 1386 Hathaway Dr, Farmington, NY 14425-8973
Phone: 5857421050

DR. BRIAN L MATTIACIO (NPI# 1922129261) 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) 1922129261
Entity Type Individual
Full Name DR. BRIAN L MATTIACIO
Credential D.D.S., M.S.
Practice Address 1386 Hathaway Dr
Farmington
NY 14425-8973
Practice Telephone 5857421050
Practice Fax Number 5857421011
Mailing Telephone 5857421050
Mailing Fax Number 5857421011
Enumeration Date 2007-04-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
051528 NY Dental Providers

Office Location

Street Address 1386 HATHAWAY DR
City FARMINGTON
State NY
Zip Code 14425-8973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285609131 Michael Susco Psychiatry & Neurology 1386 Hathaway Dr, Suite A, Farmington, NY 14425-8973 2006-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211827 Laura Elizabeth Kilburg Dietitian, Registered 6371 Cedar Creek Way, Farmington, NY 14425 2020-09-24
1306215769 Jenna Ratka Specialist/Technologist 5889 King Hill Dr, Farmington, NY 14425 2015-09-16
1922345255 Alissa L Waughtel Speech-Language Pathologist 1578 Hayride Dr, Farmington, NY 14425 2013-01-07
1891964870 Heather Patricia Munger Licensed Practical Nurse 5773 Limestone Lane, Farmington, NY 14425 2008-02-25
1306904834 Richard R Bush Dentist 1484 State Route 332, Farmington, NY 14425 2006-12-05
1811072770 Leonard Patrick Muscarella Dentist 1484 Rochester Rd. Rt. 332, Farmington, NY 14425 2006-10-26
1922111707 John Michael Manfred Internal Medicine 1160 Corporate Dr, Farmington, NY 14425 2006-08-16
1811970445 Edward H Davis Optometrist 6081 Rte 96 S, Farmington, NY 14425 2005-11-29
1114900651 Eastview Vision Inc Technician/Technologist 6081 Route 96 S, Ste 8, Farmington, NY 14425 2005-11-29
1629131248 Millers Pharmacy of Farmington Pharmacy 6181 Route 96, Farmington, NY 14425-1004 2006-12-18
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760024723 Baliram Maraj Dentist 801 Plainville Ave., Farmington, CT 06032 2019-10-11
1871902593 Sundance Orthodontics LLC Dentist 3903 Beckland Dr, Farmington, NM 87402-4701 2014-08-06
1417246562 Dr. Joseph A. Wilson Dmd, Msd, LLC Dentist 4760 N Butler Ave Ste A, Farmington, NM 87401-0816 2011-03-29
1144460486 Ernest Lee Stromeyer Dentist 2200 E 20th St, Farmington, NM 87401-8904 2009-02-26
1972748747 Derek Jay Graff Dentist 3180 N Butler Ave Ste 200, Farmington, NM 87401-2336 2008-12-09
1780892414 Justin Tyler Brown Dentist 670 Shepard Ln Ste 105, Farmington, UT 84025-3936 2007-05-18
1609990449 Orthodontic Care Group Dentist 310 Division St, Farmington, MN 55024-1233 2007-03-19
1194853044 C. Michael Beck Dentist 5605 La Veta Dr, Farmington, NM 87402-4911 2007-03-01
1710029632 Rodney Kent Rhodes Dentist 130 Westmount Drive, Farmington, MO 63640 2007-02-14
1790822476 David Michael Verlinich Dentist 303 Canyonview Dr, Farmington, NM 87401-8629 2007-01-31
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 14425

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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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