Individual
R MATTHEW MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11829
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016777
NEIGHBORHOOD HEALTH PLAN
—
01
—
11829
DELTA DENTAL
—
01
—
16419
HARVARD PILGRIM POS
—
01
—
DMA502
FIRST SENIORITY
—
01
—
X05827
DENTAL BLUE
—
Enumeration date
06/28/2005
Last updated
07/13/2026
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