Provider Demographics
NPI:1851264188
Name:SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC I
Entity type:Organization
Organization Name:SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDALY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-848-6762
Mailing Address - Street 1:10040 EDISON SQUARE DR NW STE 104
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8254
Mailing Address - Country:US
Mailing Address - Phone:704-947-9991
Mailing Address - Fax:
Practice Address - Street 1:10040 EDISON SQUARE DR NW STE 104
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8254
Practice Address - Country:US
Practice Address - Phone:704-947-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty