DR. Kevin Mark Mattingly, DDS
NPI #1407595887 in Perryville, Missouri
Provider Information
- NPI Number
- 1407595887
- Entity Type
- Individual
- Name
- DR. Kevin Mark Mattingly, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 2, 2022
- Last Updated
- Jun 2, 2022
Practice Location
- Address
- 22 S WEST ST
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-2547
- Phone
- (573) 547-6691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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