Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MATTHEW P MULLAN D.D.S.
NPI 1508811563
Dentist - General Practice in Fraser, MI

Active since May 24, 2006
16638 15 MILE RD, FRASER, MI 48026(586) 294-4750(586) 294-8731 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew P Mullan D.d.s. NPPES

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

DR. MATTHEW P MULLAN D.D.S. (NPI 1508811563) is an individual general practice provider in Fraser, Michigan, licensed in Michigan (014181) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1508811563
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW P MULLANCredential: D.D.S.
Location Address16638 15 MILE RDFraser, MI 48026-3713
Mailing Address16638 15 Mile RdFraser, MI 48026-3713 · (586) 294-4750 · Fax (586) 294-8731
Fax(586) 294-8731
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1508811563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 014181
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.
16638 15 MILE RD, Fraser, MI 48026

Other Identifiers 1

Medicaid1952136MI

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
16638 15 MILE RD
FRASER, MI 48026
In Home Supportive Care
16638 15 MILE RD
FRASER, MI 48026

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 Matthew Mullan's NPI number?

The NPI number for Matthew Mullan is 1508811563. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Matthew Mullan located?

Matthew Mullan practices at 16638 15 Mile Rd, Fraser, MI 48026. The listed phone number is (586) 294-4750.

What is Matthew Mullan's specialty?

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

What insurance does Matthew Mullan accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Matthew Mullan 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 Matthew Mullan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.