Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ALAN MATLACH
Active Sole ProprietorCHARLES ALAN MATLACH is a Dentist healthcare provider located in BOSTON, New York. NPI 1306859483 is currently active in the NPPES registry. Verify at CMS.
Dentist · BOSTON, NY
Registration Details
- NPI Number
- 1306859483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (20.022983399704 yrs)
- Last Updated
- Nov 1, 2010
- License
-
NY 32221 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8397 BOSTON STATE RDBOSTON, NY, 140259651Browse NY providers · Browse ZIP 14025
- Phone
- 7169415433
- Fax
- 7169415972
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BOSTON, NY
| Name | Credential | NPI |
|---|---|---|
| ROBERT MOYNIHAN | — | 1669513842 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.