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

Kaitlyn Jane Matter, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245174036

Kaitlyn Jane Matter, DMD is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1968
Phone: (631) 474-6553
Fax: (631) 474-6332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245174036
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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