# MATTHEW LALLI DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** St Pete Oral Surgery Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780437749
- **Authorized official:** DR. MATTHEW F LALLI DDS (OWNER)
- **Authorized official phone:** (727) 592-8881

## Contact information

- **Practice address:** 7100 4TH ST N, ST PETERSBURG, FL 33702-5912
- **Practice address phone:** (727) 592-8881
- **Practice address fax:** (727) 592-8882
- **Mailing address:** 7100 4TH ST N, ST PETERSBURG, FL 33702-5912
- **Mailing address phone:** (727) 592-8881
- **Mailing address fax:** (727) 592-8882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2024
- **Last updated:** 04/09/2024