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

Individual provider General Practice Dentistry · NPI 1932204237

Dr. Matthew Tyler Dedomenico, DMD is a General Practice Dentistry in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
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 Partly verified

Some contact details are missing from the federal record.

University Of Louisville School Of Dentistry 501 S Preston St
Louisville, KY 40292-0001
Phone: (502) 852-5128
Fax: (502) 852-7163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8353 (KY)

Record details

NPI number1932204237
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJune 13, 2017

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