Healthcare Provider Details

I. General information

NPI: 1093078735
Provider Name (Legal Business Name): CHRISTOPHER DANIEL MATESI D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 1ST ST STE 368
NAPA CA
94559-2956
US

IV. Provider business mailing address

1300 1ST ST STE 368
NAPA CA
94559-2956
US

V. Phone/Fax

Practice location:
  • Phone: 707-200-3154
  • Fax:
Mailing address:
  • Phone: 707-200-3154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License Number111110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: