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DR. KEVIN MARK MATTINGLY DDS
NPI 1407595887
Dentist - General Practice in Perryville, MO

Active since June 02, 2022
22 S WEST ST, PERRYVILLE, MO 63775(573) 547-6691 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Mark Mattingly Dds NPPES

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

DR. KEVIN MARK MATTINGLY DDS (NPI 1407595887) is an individual general practice provider in Perryville, Missouri, licensed in Missouri (2022018780) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1407595887
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN MARK MATTINGLYCredential: DDS
Location Address22 S WEST STPerryville, MO 63775-2547
Mailing Address22 S West StPerryville, MO 63775-2547 · (573) 547-6691
Phone(573) 547-6691
Sole ProprietorNo
Enumeration DateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1407595887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2022018780
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.
22 S WEST ST, Perryville, MO 63775
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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 ›

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
MATTINGLY BOXDORFER DENTAL
Clinic/Center (Dental)
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
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 Kevin Mattingly's NPI number?

The NPI number for Kevin Mattingly is 1407595887. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Kevin Mattingly located?

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

What is Kevin Mattingly's specialty?

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

What insurance does Kevin Mattingly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Kevin Mattingly 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 Kevin Mattingly was last updated on June 2, 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.