MEDICARE: DR. MATTHEW JOHN ALM DDS

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	D11737	MN

General Provider Information

NPI Number	:	1861596140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW JOHN ALM DDS

Provider Business Mailing Address
First Line	:	1616 30TH AVE S
Second Line	:
City	:	MOORHEAD
State	:	MN
Zip	:	56560-5152
Country	:	US
Telephone Number	:	218-233-4267
Fax Number	:	218-233-3294

Provider Business Practice Location Address
First Line	:	125 SIRINGO RD STE B
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-5709
Country	:	US
Telephone Number	:	505-983-6153
Fax Number	:

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

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	07/31/2025

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