Organization · Type 2 NPI

Matteson Implant and Reconstructive Dentistry Pc.

Prosthodontics · Coeur D Alene, ID

NPI number 1679096523 Active

Practice location

801 W Milwaukee Dr
Coeur D Alene, ID 83814-2236

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	D-4027 (ID)
Prosthodontics Primary	1223P0700X	D-4027 (ID)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

3 other providers at this address

NPI record

NPI: 1679096523
Entity type: Organization (Type 2)
Issued: Jul 24, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

<unavail>
Lakeview Dental · doing business as
Lakeview Dental · doing business as

Authorized official

Dr. Alvin Brett Matteson, DDS, FACP
Owner/ Prosthodontist
(270) 853-2508

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679096523

Matteson Implant and Reconstructive Dentistry Pc.'s National Provider Identifier is 1679096523, issued on Jul 24, 2017. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 21, 2022.