Individual
DR. MATTHEW J MAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1099 KENYON RD, FORT DODGE, IA 50501-4707
(515) 476-4565
(515) 955-7798
Mailing address
1099 KENYON RD, FORT DODGE, IA 50501-4707
(515) 476-4565
(515) 955-7798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7164
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240473
—
IA
01
—
42148
BLUE DENTAL
—
Enumeration date
10/31/2006
Last updated
03/24/2015
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