MATTHEW CANNAVO (D.M.D) – Oral and Maxillofacial Surgery (Dentist), NPI 1124428198

Oral and Maxillofacial Surgery (Dentist)

MATTHEW CANNAVO (D.M.D) is a healthcare provider. based in Detroit, Michigan. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials D.M.D. They hold a License No. 2901021268 (MI). The NPI Number for MATTHEW CANNAVO (D.M.D) is 1124428198

Main info

Male

Sole Proprietor

12 Years Of Experience

Accepts Medicare Assignment

Name

MATTHEW CANNAVO (D.M.D)

NPI

1124428198

Phone

(313) 499-4775

Address

7633 E JEFFERSON AVE

Enumeration Date

27 August 2014

Last Update Date

29 March 2016

Doctor Profile

Medical School Name

TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE

Secondary Phone

7347615885

Graduation Year

2014 (12 years ago)

PAC ID

8325462799

Group Practice PAC ID

9739311986

Professional Enrollment ID

I20200717000824

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MATTHEW CANNAVO (D.M.D)

7633 E JEFFERSON AVE
SUITE 70
DETROIT, MI 482143730
Phone: (313) 499-4775
Fax: (313) 499-4953
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Geistlich Pharma, North America, Inc. ($80).

Total Amount

$107

General + Research + Ownership

Payments

Total payment records

General Amount

$107

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Geistlich Pharma, North America, Inc.	$80
ZIMVIE INC.	$27

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-07

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9739311986View full group profile

Name	Specialty	State
DR. DAVID H STURTZ (D.D.S., M.S.B.A.)	-	MI
DR. RICHARD PETER BARTLING (D.D.S., F.R.C.D.C.)	-	MI
DR. JEFFREY L WASIELEWSKI (D.D.S.)	-	MI
DR. NORMAN J BETTS (D.D.S., M.S.)	-	MI

Reviews

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Frequently asked questions

What is the standard ID for MATTHEW CANNAVO (D.M.D) in the U.S.?

In the U.S., MATTHEW CANNAVO (D.M.D) is identified by NPI 1124428198.

Is MATTHEW CANNAVO (D.M.D)'s NPI status active today?

Active status means MATTHEW CANNAVO (D.M.D)'s NPI record is not deactivated in the public file.

What does the directory say MATTHEW CANNAVO (D.M.D) does?

Insurance directories may phrase it differently, but here MATTHEW CANNAVO (D.M.D) maps to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.

Can patients visit MATTHEW CANNAVO (D.M.D) in Detroit, Michigan?

For routing, start with Detroit, Michigan for MATTHEW CANNAVO (D.M.D), then verify phone and hours locally.

Why is information missing for MATTHEW CANNAVO (D.M.D)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.