Mattingly Boxdorfer Dental
NPI #1194457044 in Perryville, Missouri
Provider Information
- NPI Number
- 1194457044
- Entity Type
- Organization
- Organization Name
- Mattingly Boxdorfer Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 29, 2022
- Last Updated
- Jul 5, 2022
Practice Location
- Address
- 22 S WEST ST
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-2547
- Phone
- (573) 547-6691
Authorized Official
- Name
- DR. KEVIN MARK MATTINGLY, DDS
- Title
- OWNER/DENTIST
- Phone
- (573) 547-6691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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