1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Dentist
  6. NPI Profile

DR. MATTHEW CHARLES MANDEVILLE DDS
NPI 1598812422
Dentist - Pediatric Dentistry in Traverse City, MI

Active since January 04, 2007
4944 SKYVIEW CT, TRAVERSE CITY, MI 49684(231) 947-4566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Charles Mandeville Dds NPPES

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

DR. MATTHEW CHARLES MANDEVILLE DDS (NPI 1598812422) is an individual pediatric dentistry provider in Traverse City, Michigan, licensed in Michigan (2901015862) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1598812422
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MATTHEW CHARLES MANDEVILLECredential: DDS
Location Address4944 SKYVIEW CTTraverse City, MI 49684-7173
Mailing Address4944 Skyview CtTraverse City, MI 49684-7173 · (231) 947-4566
Phone(231) 947-4566
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598812422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901015862
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4944 SKYVIEW CT, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 2

Medicaid2974192MI
OtherD158620MI · Blue Cross Blue Shield Mi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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.

JOHN C. HALL, DDS, MS, PC
Dentist (Periodontics)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2910
NORTHERN MICHIGAN PEDIATRIC DENTISTRY
Clinic/Center (Dental)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-4566
DR. JAMES MICHAEL VANWINGEN D.D.S., M.S.
Dentist (Pediatric Dentistry)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-4566
FRANCESCA RACCA
Dentist (Periodontics)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2910
DR. JOHN CHRISTOPHER HALL DDS MS
Dentist (Periodontics)
4944 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2910

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 Mandeville's NPI number?

The NPI number for Matthew Mandeville is 1598812422. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Matthew Mandeville located?

Matthew Mandeville practices at 4944 Skyview Ct, Traverse City, MI 49684. The listed phone number is (231) 947-4566.

What is Matthew Mandeville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Matthew Mandeville accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Guardian and 2 other insurers list Matthew Mandeville 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 Mandeville 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.