MEDICARE: DR. MATTHEW VAN AUKEN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	1740173442	IL

General Provider Information

NPI Number	:	1740173442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW VAN AUKEN DMD

Provider Business Mailing Address
First Line	:	8541 W 145TH ST
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-2838
Country	:	US
Telephone Number	:	708-267-9404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1135
Country	:	US
Telephone Number	:	352-376-1611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2025
Last Update Date	:	03/09/2026

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