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

Matthew Listiyo, DMD

Individual provider Dentist · NPI 1104472778

Matthew Listiyo, DMD is a Dentist in Ontario, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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

1361 E 4th St
Ontario, CA 91764-3035
Phone: (916) 420-3989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS103994 (CA)

Record details

NPI number1104472778
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 10, 2019
Last updated in NPPESSeptember 19, 2019
Mailing address1361 E 4th St, Ontario, CA 91764-3035

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