Healthcare Provider Details

I. General information

NPI: 1982517041
Provider Name (Legal Business Name): SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HARBOUR PLACE DR STE 100
DAVIDSON NC
28036-7442
US

IV. Provider business mailing address

130 HARBOUR PLACE DR STE 100
DAVIDSON NC
28036-7442
US

V. Phone/Fax

Practice location:
  • Phone: 704-947-9991
  • Fax:
Mailing address:
  • Phone: 704-947-9991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MATTHEW GIDALY
Title or Position: OWNER/PARTNER
Credential: DDS MS
Phone: 516-848-6762