Mattingly Boxdorfer Dental
NPI #1679206056 in Perryville, Missouri
Provider Information
- NPI Number
- 1679206056
- Entity Type
- Organization
- Organization Name
- Mattingly Boxdorfer Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 5, 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 M MATTINGLY, DDS
- Title
- DENTIST/OWNER
- Phone
- (573) 547-6691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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