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

Matthew Neill Zimmer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972922599

Matthew Neill Zimmer is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

100 Nicolls Rd 114 Rockland Hall
Stony Brook, NY 11794
Phone: (631) 632-3181
Show map & directions

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

Additional practice locations (1)

  • 100 Nicolls Rd, Stony Brook, NY 11794-8701 — (631) 632-3181

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 10269 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972922599
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESAugust 7, 2018

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