Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154400877 Individual Practitioner Male Practitioner

Dr. Matthew H Wallengren , DDS, PA

Dentist - General Practice • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Wallengren, DDS, PA is a registered healthcare professional specializing in Dentist - General Practice in Baltimore, MD. Practice services are available at 1421 CLARKVIEW RD STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1421 Clarkview Rd Ste 120

Baltimore, MD 212092187

Telephone 4104311868

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
324 Specialists

Practicing in Baltimore, MD (2555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 12462

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rachel Brown , RDH

Dental Hygienist

NPI 1528942257

Registered Dental Hygienist

Russell De Ocampo

Dental Hygienist

NPI 1902626500

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated August 04, 2025

Recorded as MATTHEW WALLENGREN, DDS, PA

📍
Updated Practice Location March 26, 2024

Registered at 1421 CLARKVIEW RD STE 120, BALTIMORE, MD 212092187 (Tel: 4104351234)

📍
Updated Business Mailing Address March 26, 2024

Registered at 1421 CLARKVIEW RD STE 120, BALTIMORE, MD 212092187 (Tel: 4104351234)

👤
Provider Name / Credentials Updated March 26, 2024

Recorded as MATTHEW WALLENGREN, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2 CENTURY PINES DR, BARRINGTON, NH 038253732 (Tel: 6036647850)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1275 MAPLEWOOD AVE UNIT 32, PORTSMOUTH, NH 038013587 (Tel: 6034310622)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW WALLENGREN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3332 in NH)

🟢
Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154400877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: August 04, 2025
Sole Proprietor: No

Mailing Address

1421 Clarkview Rd Ste 120

Baltimore, MD 212092187

Phone: 4104311868

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.