Charles Kenneth Dematte Jr., DDS

General Practice Dentistry · Bridgeport, OH

Individual Active NPI

NPI number 1578601498

Practice location

334 Main Street
Bridgeport, OH 43912
Phone
(740) 635-2567
Fax
(740) 635-1976

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NPI record

NPI
1578601498
Entity type
Individual (Type 1)
Enumeration date
February 2, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 15334 OH

About Dr. Dematte

Charles Kenneth Dematte Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 334 Main Street, Bridgeport, OH 43912. The NPI number 1578601498 was assigned on February 2, 2007 and the record was last updated on July 8, 2007.

Dr. Dematte lists a license in the registry: #15334 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Kenneth Dematte Jr., DDS?

The NPI number is 1578601498.

What is the phone number of Dr. Dematte?

The phone number listed for the practice location is (740) 635-2567.

Where is Dr. Dematte located?

334 Main Street, Bridgeport, OH 43912.

What is the taxonomy code for Dr. Dematte?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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