NPI Code Details Logo

NPI 1538063409

NPI 1538063409 : MATESI DENTAL CORPORATION : NAPA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1538063409
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MATESI DENTAL CORPORATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2026
-----------------------------------------------------
    Last Update Date     |    10/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1300 1ST ST STE 368 
-----------------------------------------------------
    City                 |    NAPA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94559-2956
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    707-200-3154
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1300 1ST ST STE 368 
-----------------------------------------------------
    City                 |    NAPA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94559-2956
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    DR. CHRISTOPHER DANIEL MATESI 
-----------------------------------------------------
    Credential           |    DDS
-----------------------------------------------------
    Telephone            |    312-469-0260
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223X0008X
-----------------------------------------------------
    Taxonomy Name        |    Oral and Maxillofacial Radiology Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.