Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194020719 Individual Practitioner Male Practitioner

Dr. Nicholas Rudolph Matack , DDS

Dentist • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Matack, DDS is a registered healthcare professional specializing in Dentist in Duluth, MN. Practice services are available at 421 E 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

421 E 4th St

Duluth, MN 558051935

Telephone 2187271448
Associated Practice Facility / Clinic
🏢 Chart And Mohs Dentistry P.a. Facility NPI 1326214164

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
32 Specialists

Practicing in Duluth, MN (1863 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13811

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1073432142

Doctor of Dental Surgery

Dr. Robert Mohs , DDS

Dentist - General Practice

NPI 1093899809

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2017

Registered at 421 E 4TH ST, DULUTH, MN 558051935 (Tel: 2187271448)

📍
Updated Business Mailing Address December 20, 2017

Registered at 1415 MISSISSIPPI AVE, DULUTH, MN 55811 (Tel: 2183105902)

👤
Provider Name / Credentials Updated December 20, 2017

Recorded as NICHOLAS MATACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2017

Dentist (License #D13811 in MN)

NPI Profile Active January 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2011

Registered at 915 E 1ST ST, DULUTH, MN 558052107 (Tel: 2182495555)

📍
Updated Business Mailing Address January 12, 2011

Registered at 915 E 1ST ST, DULUTH, MN 558052107 (Tel: 2182495555)

👤
Provider Name / Credentials Updated January 12, 2011

Recorded as NICHOLAS MATACK, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2011

Physical Therapist (License #7944 in MN)

🟢
Initial NPI Registration & Enumeration January 12, 2011

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: 1194020719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2011
Last Update: December 20, 2017
Sole Proprietor: No

Mailing Address

1415 Mississippi Ave

Duluth, MN 55811

Phone: 2183105902

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.