1. Home
  2. Directory
  3. Michigan
  4. Mattawan
  5. Dentist
  6. NPI Profile

MATTAWAN FAMILY DENTISTRY
NPI 1124836531
Dentist - General Practice in Mattawan, MI

Active since December 19, 2024
56400 CITY CENTER CIR, MATTAWAN, MI 49071(269) 568-2609 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattawan Family Dentistry NPPES

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

MATTAWAN FAMILY DENTISTRY (NPI 1124836531) is a healthcare organization registered as a general practice in Mattawan, Michigan and active in the NPI registry since December 2024. The organization lists Jonathan Vandenburgh, Owner, as its authorized official.

NPPES Registry Identity

NPI1124836531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATTAWAN FAMILY DENTISTRY
Location Address56400 CITY CENTER CIRMattawan, MI 49071-8380
Mailing Address56400 City Center CirMattawan, MI 49071-8380 · (269) 568-2609
Phone(269) 568-2609
Organization SubpartNo
Authorized OfficialJonathan VandenburghOwner · (269) 568-2609
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1124836531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDental HygienistTaxonomy 124Q00000X
56400 CITY CENTER CIR, Mattawan, MI 49071
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JONATHAN VANDENBURGH DDS
Dentist
56400 CITY CENTER CIR
MATTAWAN, MI 49071
Van Buren County (269) 568-2609

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 Mattawan Family Dentistry's NPI number?

The NPI number for Mattawan Family Dentistry is 1124836531. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Mattawan Family Dentistry located?

Mattawan Family Dentistry is located at 56400 City Center Cir, Mattawan, MI 49071. The listed phone number is (269) 568-2609.

What is Mattawan Family Dentistry's specialty?

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

What insurance does Mattawan Family Dentistry accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mattawan Family Dentistry 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 Mattawan Family Dentistry was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.