Provider Demographics
NPI:1841183944
Name:MATTHEW SANDRETTI DDS MSD INC
Entity type:Organization
Organization Name:MATTHEW SANDRETTI DDS MSD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SASO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-479-3432
Mailing Address - Street 1:8359 ELK GROVE FLORIN RD STE 103-362
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9298
Mailing Address - Country:US
Mailing Address - Phone:916-479-3432
Mailing Address - Fax:
Practice Address - Street 1:9727 ELK GROVE FLORIN RD STE 280
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2290
Practice Address - Country:US
Practice Address - Phone:916-479-3432
Practice Address - Fax:916-905-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty