Individual provider · Type 1 NPI
Brian L. Mattiacio, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Farmington, NY
Practice location
1386 Hathaway Dr
Farmington, NY 14425-8973
Fax (585) 742-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 051528 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
2 other providers at this address
About NPI 1922129261
Brian L. Mattiacio, DDS, M.S.'s National Provider Identifier is 1922129261, issued on Apr 3, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Farmington, NY. The record was last updated on Jul 8, 2007.