Individual provider · Type 1 NPI

Matthew David D'addario, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Colorado Springs, CO

NPI number 1396923595 Active

Practice location

595 Chapel Hills Dr, Suite 300
Colorado Springs, CO 80920-1022

Fax (719) 599-0575

Mailing address

2236 Kenwood Dr
Lexington, KY 40509-4127

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X7888 (KY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X7888 (KY)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1396923595

Matthew David D'addario, DDS, MD's National Provider Identifier is 1396923595, issued on Feb 11, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 11, 2008.