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NICHOLAS MATTILA D.D.S.
NPI 1700105806
Dentist - General Practice in Green Bay, WI

Active since May 28, 2010
1711 SHAWANO AVE, GREEN BAY, WI 54303(920) 494-9541(920) 494-2026 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Mattila D.d.s. NPPES

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

NICHOLAS MATTILA D.D.S. (NPI 1700105806) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (7014-15) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1700105806
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICHOLAS MATTILACredential: D.D.S.
Location Address1711 SHAWANO AVEGreen Bay, WI 54303-3215
Mailing Address1711 Shawano AveGreen Bay, WI 54303-3215 · (920) 494-9541 · Fax (920) 494-2026
Phone(920) 494-9541
Fax(920) 494-2026
Sole ProprietorNo
Enumeration DateMay 28, 2010
Last NPPES UpdateJune 25, 2013
✔ NPI 1700105806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 7014-15
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.
1711 SHAWANO AVE, Green Bay, WI 54303
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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 13

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

MARK ROBERT VANDE WALLE DDS
Dentist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
MISS ANDREA NICOLE STANKE RDH
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
MRS. MARY LOU NABAK RDH
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
DAVID CHARLES THOMPSON DDS
Dentist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
DR. ZACHARY ADAM GRAF DDS
Dentist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
DENTAL ARTS ASSOCIATES OF GREEN BAY LTD
Clinic/Center (Dental)
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
MRS. COURTNEY LYNN CHRISTENSEN RDH
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541
MRS. TAMI JAY SARGENT RDH
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 494-9541

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 Nicholas Mattila's NPI number?

The NPI number for Nicholas Mattila is 1700105806. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Nicholas Mattila located?

Nicholas Mattila practices at 1711 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 494-9541.

What is Nicholas Mattila's specialty?

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

What insurance does Nicholas Mattila 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 and Humana list Nicholas Mattila 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 Nicholas Mattila was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.