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MRS. KELLY MATTESEN RDH
NPI 1568688364
Dental Hygienist in Glastonbury, CT

Active since April 18, 2007
84 GLASTONBURY BLVD, GLASTONBURY, CT 06033(860) 657-5522(860) 657-5558 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Mattesen Rdh NPPES

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

MRS. KELLY MATTESEN RDH (NPI 1568688364) is an individual dental hygienist in Glastonbury, Connecticut, licensed in Connecticut (004535) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1568688364
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. KELLY MATTESENCredential: RDH
Location Address84 GLASTONBURY BLVDGlastonbury, CT 06033-4468
Mailing Address440 Main StPortland, CT 06480-1526 · (860) 342-4088
Phone(860) 657-5522
Fax(860) 657-5558
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568688364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CT · 004535
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
84 GLASTONBURY BLVD, Glastonbury, CT 06033
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Other Providers at the Same Location NPPES 12

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

ORTHOPAEDIC SPORTS SPECIALISTS, PC
Durable Medical Equipment & Medical Supplies
84 GLASTONBURY BLVD, SUITE 101
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-8883
ERIK LIBBY PA
Physician Assistant
84 GLASTONBURY BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-8883
DR. MARK EDWARD HAGOPIAN DMD
Dentist (General Practice)
84 GLASTONBURY BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-5533
ADAM MORGAN PT
Physical Therapist
84 GLASTONBURY BLVD, SUITE 103
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-6292
CLINT GALAMGAM MSPT
Physical Therapist
84 GLASTONBURY BLVD, SUITE 103
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-6292
KAREN BIDWELL PT
Physical Therapist
84 GLASTONBURY BLVD, SUITE 103
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-6292
DR. ANA M FERNANDEZ DDS
Dentist (General Practice)
84 GLASTONBURY BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-5522
DR. MICHAEL ROBERT EGAN DDS
Dentist (General Practice)
84 GLASTONBURY BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-5522

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 Kelly Mattesen's NPI number?

The NPI number for Kelly Mattesen is 1568688364. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Kelly Mattesen located?

Kelly Mattesen practices at 84 Glastonbury Blvd, Glastonbury, CT 06033. The listed phone number is (860) 657-5522.

What is Kelly Mattesen's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mattesen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.