SOUTHWEST DENTAL
NPI 1548486079
Dentist - General Practice in Grants, NM

Q: What is Jeffrey Ray Mattila, D.D.S,p.C.'s NPI number?

The NPI number for Jeffrey Ray Mattila, D.D.S,p.C. is 1548486079. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is also known as Southwest Dental.

Q: What is Jeffrey Ray Mattila, D.D.S,p.C.'s specialty?

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

Active since April 17, 2007

200 LINCOLN AVE, GRANTS, NM 87020(505) 287-2000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southwest Dental NPPES

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

SOUTHWEST DENTAL (NPI 1548486079) is a healthcare organization registered as a general practice in Grants, New Mexico and active in the NPI registry since April 2007. The organization lists Jeffrey Ray Mattila, President, as its authorized official.

NPPES Registry Identity

NPI1548486079

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJEFFREY RAY MATTILA, D.D.S,P.C.

Location Address200 LINCOLN AVEGrants, NM 87020-2828

Mailing Address200 Lincoln AveGrants, NM 87020-2828 · (505) 287-2000

Phone(505) 287-2000

Organization SubpartNo

Authorized OfficialJeffrey Ray MattilaPresident · (505) 287-2000

Enumeration DateApril 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1548486079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NM · DD1754

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.

200 LINCOLN AVE, Grants, NM 87020

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Other Names 1

Other NameSouthwest Dental

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

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

DR. JEFFREY RAY MATTILA D.D.S.

Dentist

200 LINCOLN AVE
GRANTS, NM 87020

Cibola County (505) 287-2000

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 Jeffrey Ray Mattila, D.D.S,p.C.'s NPI number?

The NPI number for Jeffrey Ray Mattila, D.D.S,p.C. is 1548486079. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is also known as Southwest Dental.

Where is Jeffrey Ray Mattila, D.D.S,p.C. located?

Jeffrey Ray Mattila, D.D.S,p.C. is located at 200 Lincoln Ave, Grants, NM 87020. The listed phone number is (505) 287-2000.

What is Jeffrey Ray Mattila, D.D.S,p.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Ray Mattila, D.D.S,p.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.