Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW DESIDERIO, DMD
Active Sole ProprietorDR. MATTHEW DESIDERIO, DMD is a Dentist healthcare provider located in LA MESA, California. NPI 1851915789 is currently active in the NPPES registry. Verify at CMS.
Dentist · LA MESA, CA
Registration Details
- NPI Number
- 1851915789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2020 (6.0069435304713 yrs)
- Last Updated
- Sep 24, 2021
- License
-
106958 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3767 AVOCADO BLVDLA MESA, CA, 919417301Browse CA providers · Browse ZIP 91941
- Phone
- 6197292323
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY SHEN | DMD | 1821094160 |
| DR. ROY O. STEPHENS | DDS | 1124048749 |
| DR. DONALD J TREXEL | D.D.S. | 1730109802 |
| DR. RICHARD J HAGSTROM | DDS | 1316057367 |
| DR. TAMARA LYNNE SCHNEIDMILLER | DDS | 1063523256 |
| DR. BRIEN KEVIN HILL | DDS | 1730290917 |
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.