Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1144015769
Gss - Matawan Dental, Llc
Organization Subpart: NO
Active
NPI Number1144015769
NPI TypeNPI-2 Organization
SpecialtyDentist, General Practice
Provider Details
NPI1144015769
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2025-04-14
Last Updated2025-04-14
Authorized OfficialChad Hendricks
Credentialing
Phone: 6128590444
Mailing Address125 Main St
Matawan, NJ 07747-2654
United States
Phone: (732) 984-4110
📍 View Map
Primary Practice Address125 Main St
Matawan, NJ 07747-2654
United States
Phone: (732) 984-4110
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General Practice--
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About NPI 1144015769

Gss - Matawan Dental, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1144015769. The primary specialty listed is Dentist, General Practice. The organization is located in Matawan, NJ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2025-04-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1144015769?

NPI 1144015769 belongs to Gss - Matawan Dental, Llc, a Dentist, General Practice in Matawan, NJ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1144015769 active?

The current status of NPI 1144015769 in the NPPES registry is Active. The record was last updated on 2025-04-14.

What specialty is NPI 1144015769?

NPI 1144015769 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1144015769?

You can verify NPI 1144015769 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1144015769?

The primary practice address on file for NPI 1144015769 is 125 Main St, Matawan, NJ 07747-2654. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1144015769 issued?

NPI 1144015769 was first issued (enumerated) on 2025-04-14. The NPPES record was last updated on 2025-04-14.

Practice Location Map

Gss - Matawan Dental, Llc is located at 125 Main St, Matawan, NJ. Use the map below to find directions or verify the practice location.

📍 125 Main St, Matawan, NJ 07747-2654  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Gss - Matawan Dental, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162