Individual
CHAD D MATONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7400 N HILLS BLVD, N LITTLE ROCK, AR 72116-4539
(501) 835-4567
(501) 834-9178
Mailing address
7400 N HILLS BLVD, N LITTLE ROCK, AR 72116-4539
(501) 835-4567
(501) 834-9178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3574
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164408608
—
AR
01
—
1876078
UNITED CONCORDIA
AR
01
—
3574
DELTA DENTAL
AR
01
—
5Y906
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/13/2007
Last updated
12/27/2011
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