# DR. MATTHEW JOSEPH MICHELOTTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518578822
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19394 | MT | Yes |
| 122300000X | Dentist | DEN-DEN-LIC-19394 | MT | — |

## Other

- **Enumeration date:** 08/11/2020
- **Last updated:** 08/19/2020