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DR. KENT M MATTISON D.M.D.
NPI 1922024454
Dentist in Snellville, GA

Active since July 15, 2006PECOS Enrolled
2381 MAIN ST E STE B, SNELLVILLE, GA 30078(770) 972-4666 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. Kent M Mattison D.m.d. NPPES

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

DR. KENT M MATTISON D.M.D. (NPI 1922024454) is an individual dentist in Snellville, Georgia, licensed in Georgia (DN008284) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922024454
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENT M MATTISONCredential: D.M.D.
Location Address2381 MAIN ST E STE BSnellville, GA 30078-3358
Mailing Address2381 Main St E Ste BSnellville, GA 30078-3358 · (770) 972-4666
Phone(770) 972-4666
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922024454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN008284
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2381 MAIN ST E STE B, Snellville, GA 30078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kent M Mattison D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

KENT M. MATTISON, D.M.D., P.C.
Dentist (General Practice)
2381 MAIN ST E STE B
SNELLVILLE, GA 30078
Gwinnett County (770) 972-4666
DR. JOHN W SIMMONS IV DMD
Dentist (General Practice)
2381 MAIN ST E STE B
SNELLVILLE, GA 30078
Gwinnett County (770) 985-2437
DR. ROBERT FRENCH DDS
Dentist (General Practice)
2381 MAIN ST E STE B
SNELLVILLE, GA 30078
Gwinnett County (770) 985-2437

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 Kent Mattison's NPI number?

The NPI number for Kent Mattison is 1922024454. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Kent Mattison located?

Kent Mattison practices at 2381 Main St E Ste B, Snellville, GA 30078. The listed phone number is (770) 972-4666.

What is Kent Mattison's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kent Mattison enrolled in Medicare?

Yes. Kent Mattison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kent Mattison 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.