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MATTIE ELIZABETH EDDLEMAN
NPI 1083346241
Dentist - General Practice in Moore, OK

Active since June 27, 2022
780 SW 19TH ST, MOORE, OK 73160(402) 669-2590 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattie Elizabeth Eddleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTIE ELIZABETH EDDLEMAN (NPI 1083346241) is an individual general practice provider in Moore, Oklahoma, licensed in Oklahoma (7639) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1083346241
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMATTIE ELIZABETH EDDLEMAN
Location Address780 SW 19TH STMoore, OK 73160-3054
Mailing Address780 Sw 19th StMoore, OK 73160-3054
Phone(402) 669-2590
Sole ProprietorNo
Enumeration DateJune 27, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1083346241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 7639
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
780 SW 19TH ST, Moore, OK 73160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattie Eddleman's NPI number?

The NPI number for Mattie Eddleman is 1083346241. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Mattie Eddleman located?

Mattie Eddleman practices at 780 SW 19th St, Moore, OK 73160. The listed phone number is (402) 669-2590.

What is Mattie Eddleman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mattie Eddleman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Mattie Eddleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mattie Eddleman was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.