DR. MICHAEL MATTINGLY DDS
NPI 1720200165
Dentist - General Practice in Minneapolis, MN

Q: What is Michael Mattingly's NPI number?

The NPI number for Michael Mattingly is 1720200165. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Michael Mattingly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Mattingly 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.

Active since May 03, 2007

3255 LYNDALE AVE S, MINNEAPOLIS, MN 55408(612) 822-8968 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Mattingly Dds NPPES

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

DR. MICHAEL MATTINGLY DDS (NPI 1720200165) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (9998) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1720200165

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL MATTINGLYCredential: DDS

Location Address3255 LYNDALE AVE SMinneapolis, MN 55408-3647

Mailing Address3255 Lyndale Ave SMinneapolis, MN 55408-3647 · (612) 822-8968

Phone(612) 822-8968

Sole ProprietorYes

Enumeration DateMay 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720200165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 9998

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.

3255 LYNDALE AVE S, Minneapolis, MN 55408

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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 Michael Mattingly's NPI number?

The NPI number for Michael Mattingly is 1720200165. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Michael Mattingly located?

Michael Mattingly practices at 3255 Lyndale Ave S, Minneapolis, MN 55408. The listed phone number is (612) 822-8968.

What is Michael Mattingly's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Mattingly 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.