Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADFORD DAVID MATIASEVICH, D.D.S.
Active Sole ProprietorDR. BRADFORD DAVID MATIASEVICH, D.D.S. is a General Dentistry healthcare provider located in FREEDOM, California. NPI 1720246473 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FREEDOM, CA
Registration Details
- NPI Number
- 1720246473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2008 (18.192592180582 yrs)
- Last Updated
- May 29, 2008
- Licenses
-
BM46643 (CA)BM46643 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
256 GREEN VALLEY RDFREEDOM, CA, 950193139Browse CA providers · Browse ZIP 95019
- Phone
- 8317224666
- Fax
- 8317280750
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in FREEDOM, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GILBERT J GRIO | DDS | 1013080522 |
| DR. DEEPAK KUMAR SACHDEV | DDS | 1972679884 |
| CHUNG NGOC TRUONG | DDS | 1235432592 |
| DR. GORDON GARDNER GOLDSTINE | DDS | 1992218481 |
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.