MATTINGLY BOXDORFER DENTAL - NPI 1679206056

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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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)