Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ISAAC MADDOX, DDS
DeactivatedMATTHEW ISAAC MADDOX, DDS is a Dentist healthcare provider located in NEWBURY PARK, California. NPI 1639794266 is deactivated in the NPPES registry. Verify at CMS.
Dentist · NEWBURY PARK, CA
This NPI has been deactivated.
The record was deactivated on October 6, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639794266
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2020 (1.3260273972603 yrs)
- Last Updated
- Jul 27, 2023
- Deactivated
- Oct 6, 2021
- License
-
107036 (CA)
Practice Information
- Address
-
1000 NEWBURY RD STE 150NEWBURY PARK, CA, 913206438Browse CA providers · Browse ZIP 91320
- Phone
- 8054983640
- Fax
- 8054983641
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NEWBURY PARK, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY PHILLIP COLE | D.D.S. | 1689699068 |
| PADMAJA MANTHENA | DDS | 1407864473 |
| EDWIN M H PARK | DDS | 1851301998 |
| MR. HENRY HSINCHI CHEN | DMD | 1528108628 |
| DR. JAMES LAWRENCE THOMPSON | D.D.S. | 1598800401 |
| DR. MANDANA ANOOSHEH ZOMORRODI | DDS | 1891968772 |
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.