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.
Organization
SOUTH SHORE DENTAL
Active
Organization
SOUTH SHORE DENTAL
Active
Other names
Matthew Lau, DDS INC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JIN LAU DDS (OWNER)
(510) 846-8556
Entity
Organization
Contact information
Practice address
2111 WHITEHALL PL STE C, ALAMEDA, CA 94501-6160
(510) 523-5323
Mailing address
2111 WHITEHALL PL STE C, ALAMEDA, CA 94501-6160
(510) 523-5323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417282187
INDIVIDUAL NPI
CA
01
—
58875
DENTAL LICENSE
CA
Enumeration date
04/01/2015
Last updated
04/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up