Individual
MATTHEW DAVID D'ADDARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
595 CHAPEL HILLS DR, SUITE 300, COLORADO SPRINGS, CO 80920-1022
(719) 599-0500
(719) 599-0575
Mailing address
2236 KENWOOD DR, LEXINGTON, KY 40509-4127
(859) 221-0142
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7888
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7888
KY
Other
Enumeration date
02/11/2008
Last updated
04/11/2008
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