Provider Demographics
NPI:1407205370
Name:CAMBRIA, MATTHEW J (DMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:CAMBRIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ANNA AVE
Mailing Address - Street 2:PO BOX 260
Mailing Address - City:BLANDON
Mailing Address - State:PA
Mailing Address - Zip Code:19510-9311
Mailing Address - Country:US
Mailing Address - Phone:610-926-1233
Mailing Address - Fax:610-916-7640
Practice Address - Street 1:109 ANNA AVE
Practice Address - Street 2:
Practice Address - City:BLANDON
Practice Address - State:PA
Practice Address - Zip Code:19510-9311
Practice Address - Country:US
Practice Address - Phone:610-926-1233
Practice Address - Fax:610-916-7640
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040830122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist