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MATTINGLY BOXDORFER DENTAL
NPI 1194457044
Clinic/Center - Dental in Perryville, MO

Active since June 29, 2022
22 S WEST ST, PERRYVILLE, MO 63775(573) 547-6691(573) 547-6696 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattingly Boxdorfer Dental NPPES

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

MATTINGLY BOXDORFER DENTAL (NPI 1194457044) is a healthcare organization registered as a dental in Perryville, Missouri and active in the NPI registry since June 2022. The organization lists Kevin Mark Mattingly, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1194457044
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMATTINGLY BOXDORFER DENTAL
Location Address22 S WEST STPerryville, MO 63775-2547
Mailing Address22 S West StPerryville, MO 63775-2547 · (573) 547-6691 · Fax (573) 547-6696
Phone(573) 547-6691
Fax(573) 547-6696
Organization SubpartNo
Authorized OfficialKevin Mark MattinglyOwner/dentist · (573) 547-6691
Enumeration DateJune 29, 2022
Last NPPES UpdateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1194457044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
22 S WEST ST, Perryville, MO 63775
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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.

DR. JOSEPH DAVID HUTCHISON D.D.S.
Dentist (General Practice)
22 S WEST ST
PERRYVILLE, MO 63775
Perry County (573) 547-6691
JOE DAVID HUTCHISON, D.D.S., P.C.
Dentist (General Practice)
22 S WEST ST
PERRYVILLE, MO 63775
Perry County (573) 547-6691
DR. KEVIN MARK MATTINGLY DDS
Dentist (General Practice)
22 S WEST ST
PERRYVILLE, MO 63775
Perry County (573) 547-6691
KATHERINE BOXDORFER DDS
Dentist (General Practice)
22 S WEST ST
PERRYVILLE, MO 63775
Perry County (573) 547-6691
MATTINGLY BOXDORFER DENTAL
Dentist (General Practice)
22 S WEST ST
PERRYVILLE, MO 63775
Perry County (573) 547-6691

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 Mattingly Boxdorfer Dental's NPI number?

The NPI number for Mattingly Boxdorfer Dental is 1194457044. It was assigned to this organization in the NPPES registry on June 29, 2022.

Where is Mattingly Boxdorfer Dental located?

Mattingly Boxdorfer Dental is located at 22 S West St, Perryville, MO 63775. The listed phone number is (573) 547-6691.

What is Mattingly Boxdorfer Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mattingly Boxdorfer Dental was last updated on July 5, 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.