Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew Dalton Bollaert, DMD

Individual provider Dentist · NPI 1851011787

Dr. Matthew Dalton Bollaert, DMD is a Dentist in Moline, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3001 41st St
Moline, IL 61265-7826
Phone: (309) 764-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033745 (IL)

Record details

NPI number1851011787
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateJuly 15, 2022

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