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General NPI Number Information
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NPI Number | 1982517041
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Entity Type | Organization
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Legal Business Name | SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC II
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 130 HARBOUR PLACE DR STE 100
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City | DAVIDSON
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State | NC
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Zip | 28036-7442
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Country | US
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Telephone | 704-947-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 130 HARBOUR PLACE DR STE 100
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City | DAVIDSON
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State | NC
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Zip | 28036-7442
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Country | US
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Telephone | 704-947-9991
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. MATTHEW GIDALY
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Credential | DDS MS
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Telephone | 516-848-6762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | NULL
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