Erick Evandro Di Matteo
Periodontics · Longview, TX
Practice location
444 Forest Sq Ste aLongview, TX 75605-4463
- Phone
- (903) 758-3329
NPI record
- NPI
- 1295239713
- Entity type
- Individual (Type 1)
- Enumeration date
- March 20, 2018
- Last updated
- August 15, 2022
- Certified
- August 15, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
37306 | TX |
Mailing address
3101 Madisina DrCedar Park, TX 78641-2639
- Phone
- (407) 552-5019
Other practice locations (1)
- 1395 Center Dr # D1-D9, Gainesville, FL 32610-3006 · (352) 273-7846
About Erick Di Matteo
Erick Evandro Di Matteo is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 444 Forest Sq Ste a, Longview, TX 75605-4463. The NPI number 1295239713 was assigned on March 20, 2018 and the record was last updated on August 15, 2022.
Erick Di Matteo lists a license in the registry: #37306 (TX) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Erick Evandro Di Matteo?
The NPI number is 1295239713.
What is the phone number of Erick Di Matteo?
The phone number listed for the practice location is (903) 758-3329.
Where is Erick Di Matteo located?
444 Forest Sq Ste a, Longview, TX 75605-4463.
What is the taxonomy code for Erick Di Matteo?
The primary taxonomy code is 1223P0300X – Periodontics.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Periodontics providers in Longview
- Michel Victor Furtado Araujo, DDS, MSC, MDS444 Forest Sq
- Pinnacle Implants and Periodontics444 Forest Sq Ste a
- Tom M Smith, DDS, Inc444 Forest Sq
- Fred Dee Rea, D.D.S.806 Medical Circle Drive