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Dr. Kevin Mark Mattingly, DDS
General Practice Dentistry in Perryville, Missouri
NPI 1407595887

Kevin Mark Mattingly is a General Practice Dentistry based in Perryville, MO and is specialized in General Practice. Kevin Mark Mattingly practices in Perryville, MO and has the professional credentials of DDS. The NPI Number for Kevin Mark Mattingly is 1407595887 and holds a License No. 2022018780 (Missouri).

The current practice location address for Kevin Mark Mattingly is 22 S West St, Perryville, MO and can be reached out via phone at 573-547-6691.

Location: 22 S West St, Perryville, MO, 63775-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407595887
Provider Name
Kevin Mark Mattingly
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
22 S West St, Perryville, MO, 63775-2547
Phone Number
573-547-6691
Fax Number
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22 S West St
City
Perryville
State
Missouri
Zip
63775-2547
Phone Number
573-547-6691
Fax Number
person
Provider Business Mailing Address Details
Address
22 S West St
City
Perryville
State
Missouri
Zip
63775-2547
Phone Number
573-547-6691
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2022018780 (Missouri)
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.
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