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MATTINGLY BOXDORFER DENTAL
NPI 1679206056
Dentist - General Practice in Perryville, MO

Active since July 05, 2022
22 S WEST ST, PERRYVILLE, MO 63775(573) 547-6691(573) 547-6696 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mattingly Boxdorfer Dental NPPES

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

MATTINGLY BOXDORFER DENTAL (NPI 1679206056) is a healthcare organization registered as a general practice in Perryville, Missouri and active in the NPI registry since July 2022. The organization lists Kevin M Mattingly, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1679206056
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATTINGLY BOXDORFER DENTAL
Location Address22 S WEST STPerryville, MO 63775-2547
Mailing Address22 S West StPerryville, MO 63775-2547 · (573) 547-6691 · Fax (573) 547-6696
Phone(573) 547-6691
Fax(573) 547-6696
Organization SubpartNo
Authorized OfficialKevin M MattinglyDentist/owner · (573) 547-6691
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1679206056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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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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

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
DR. KEVIN MARK MATTINGLY DDS
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

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 Mattingly Boxdorfer Dental's NPI number?

The NPI number for Mattingly Boxdorfer Dental is 1679206056. It was assigned to this organization in the NPPES registry on July 5, 2022.

Where is Mattingly Boxdorfer Dental located?

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

What is Mattingly Boxdorfer Dental's specialty?

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

What insurance does Mattingly Boxdorfer Dental 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 Mattingly Boxdorfer Dental 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 Mattingly Boxdorfer Dental was last updated on July 5, 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.