IndividualActive
Artem Matatov
NPI 1477220184 · General Practice Dentistry · Old Saybrook, CT
Provider details
- NPI number
- 1477220184
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN26396 (FL)
Practice location
711 Boston Post Rd
Old Saybrook, CT 06475-2125
Phone: (860) 388-0242
Mailing address
9825 65th Rd Apt 4a
Rego Park, NY 11374-3510
Registry dates
- Enumerated
- 2021-08-30
- Last updated
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.