M & T DERMATOLOGY SERVICES LLC
NPI 1083602015
Dermatology in Joplin, MO

Active since October 13, 2005
2829 S JACKSON AVE, JOPLIN, MO 64804(417) 624-0440(417) 624-9652 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About M & T Dermatology Services Llc NPPES

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

M & T DERMATOLOGY SERVICES LLC (NPI 1083602015) is a healthcare organization registered as a dermatology in Joplin, Missouri and active in the NPI registry since October 2005. The organization lists Mark Stephen Matlock, Owner, as its authorized official.

NPPES Registry Identity

NPI1083602015
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameM & T DERMATOLOGY SERVICES LLC
Location Address2829 S JACKSON AVEJoplin, MO 64804-2525
Mailing Address2829 S Jackson AveJoplin, MO 64804-2525 · (417) 624-0440 · Fax (417) 624-9652
Fax(417) 624-9652
Organization SubpartNo
Authorized OfficialMark Stephen MatlockOwner · (417) 624-0440
Enumeration DateOctober 13, 2005
Last NPPES UpdateNovember 19, 2008
NPI 1083602015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2829 S JACKSON AVE, Joplin, MO 64804

Other Identifiers 3

Medicaid506068501MO
Medicare PIN000013884MO
OtherDA0571Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2829 S JACKSON AVE
JOPLIN, MO 64804
Dermatology
2829 S JACKSON AVE
JOPLIN, MO 64804
Physician Assistant
2829 S JACKSON AVE
JOPLIN, MO 64804
Physician Assistant
2829 S JACKSON AVE
JOPLIN, MO 64804
Dermatology
2829 S JACKSON AVE
JOPLIN, MO 64804

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 M & T Dermatology Services LLC's NPI number?

The NPI number for M & T Dermatology Services LLC is 1083602015. It was assigned to this organization in the NPPES registry on October 13, 2005.

Where is M & T Dermatology Services LLC located?

M & T Dermatology Services LLC is located at 2829 S Jackson Ave, Joplin, MO 64804. The listed phone number is (417) 624-0440.

What is M & T Dermatology Services LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for M & T Dermatology Services LLC was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.