Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295239713 Individual Practitioner Male Practitioner

Erick Evandro Di Matteo

Dentist - Periodontics • Longview, TX

Professional Overview & Biography Verified Profile Summary

Erick Di Matteo is a registered healthcare professional specializing in Dentist - Periodontics in Longview, TX. Practice services are available at 444 FOREST SQ STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

444 Forest Sq Ste A

Longview, TX 756054463

Telephone 9037583329
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Longview, TX (511 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: 2022-08-15
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License TX 37306

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Practice Locations

1395 Center Dr # D1-D9

Gainesville, FL 326103006

Phone: 3522737846

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1225341522

Doctor of Dental Surgery, Master of Science, MDS

Dr. Marcia Mbadu , DMD

Dentist - Periodontics

NPI 1225595416

Doctor of Dental Medicine

Dr. Thomas Smith , DDS, MSD

Dentist - Periodontics

NPI 1891883757

Doctor of Dental Surgery, MSD

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 15, 2022

Registered at 444 FOREST SQ STE A, LONGVIEW, TX 756054463 (Tel: 9037583329)

📍
Updated Business Mailing Address August 15, 2022

Registered at 3101 MADISINA DR, CEDAR PARK, TX 786412639 (Tel: 4075525019)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2022

Dentist (License #37306 in TX)

📍
Updated Business Mailing Address September 16, 2020

Registered at 5333 SW 75TH ST APT F39, GAINESVILLE, FL 326087449 (Tel: 4075525019)

NPI Profile Active March 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2018

Registered at 1395 CENTER DR # D1-D9, GAINESVILLE, FL 326103006 (Tel: 3522737846)

📍
Updated Business Mailing Address March 20, 2018

Registered at 4225 SUMMIT CREEK BLVD APT 6310, ORLANDO, FL 328374501 (Tel: 4075525019)

👤
Provider Name / Credentials Updated March 20, 2018

Recorded as ERICK DI MATTEO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2018

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: 1295239713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2018
Last Update: August 15, 2022
Sole Proprietor: No

Mailing Address

3101 Madisina Dr

Cedar Park, TX 786412639

Phone: 4075525019

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.