Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael David Mattiacio, DDS

Individual provider General Practice Dentistry · NPI 1073631156

Dr. Michael David Mattiacio, DDS is a General Practice Dentistry in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2946 Erie Blvd E
Syracuse, NY 13224-1431
Phone: (315) 445-2678
Fax: (315) 445-2838
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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 049454-1 (NY)

Record details

NPI number1073631156
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2946 Erie Blvd E, Syracuse, NY 13224-1431

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