Provider Demographics
NPI:1851557581
Name:ADAMO, MATTHEW JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JAMES
Last Name:ADAMO
Suffix:
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:BLDG H100 SANTA MARGERITA RD
Mailing Address - Street 2:NAVAL HOSPITAL CAMP PENDLETON
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-1200
Mailing Address - Fax:760-725-1267
Practice Address - Street 1:BLDG H100 SANTA MARGERITA RD
Practice Address - Street 2:NAVAL HOSPITAL CAMP PENDLETON
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-1200
Practice Address - Fax:760-725-1267
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS58942122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist