Provider Demographics
NPI:1386158681
Name:CASSERA, MATTHEW JOSEPH (DMD, MBS)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:JOSEPH
Last Name:CASSERA
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Gender:M
Credentials:DMD, MBS
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Mailing Address - Street 1:7 EAST SKIPPACK PIKE
Mailing Address - Street 2:105
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5310
Mailing Address - Country:US
Mailing Address - Phone:215-283-2440
Mailing Address - Fax:215-283-6383
Practice Address - Street 1:7 EAST SKIPPACK PIKE
Practice Address - Street 2:105
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5310
Practice Address - Country:US
Practice Address - Phone:215-283-2440
Practice Address - Fax:215-283-6383
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2017-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS0413791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics