MATTISON DONALDSON DDS
NPI 1962018945
Dentist - Endodontics in San Bernardino, CA

Active since September 16, 2020
362 E VANDERBILT WAY, SAN BERNARDINO, CA 92408(909) 384-1111 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Nov 10, 2022, Sep 16, 2020 (3 updates tracked since 2020).

About Mattison Donaldson Dds NPPES

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

MATTISON DONALDSON DDS (NPI 1962018945) is an individual endodontics provider in San Bernardino, California, licensed in California (105501) and active in the NPI registry since September 2020. She maintains a secondary practice location in Corona.

NPPES Registry Identity

NPI1962018945
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameMATTISON DONALDSONCredential: DDS
Location Address362 E VANDERBILT WAYSan Bernardino, CA 92408-3593
Mailing Address44100 Jefferson St Ste 404Indio, CA 92201-9014 · (760) 772-0214
Sole ProprietorNo
Enumeration DateSeptember 16, 2020
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1962018945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CA · 105501
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 105501 (CA)
362 E VANDERBILT WAY, San Bernardino, CA 92408

Secondary Practice Location 1

Location 1770 Magnolia Ave # JCorona, CA 92879-3120 · Phone (951) 736-0603

Accepted Insurance

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.

Dentist
362 E VANDERBILT WAY, SUITE 110
SAN BERNARDINO, CA 92408
Dentist
362 E VANDERBILT WAY
SAN BERNARDINO, CA 92408
Dentist (General Practice)
362 E VANDERBILT WAY
SAN BERNARDINO, CA 92408

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 Mattison Donaldson's NPI number?

The NPI number for Mattison Donaldson is 1962018945. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Mattison Donaldson located?

Mattison Donaldson practices at 362 E Vanderbilt Way, San Bernardino, CA 92408. The listed phone number is (909) 384-1111.

What is Mattison Donaldson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Mattison Donaldson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mattison Donaldson 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 Mattison Donaldson was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.