Individual provider · Type 1 NPI
Xavier Mata, DMD, M.S.
Periodontics · Phoenix, AZ
NPI number
1376799445
Active
Practice location
8608 S 30th Way
Phoenix, AZ 85042-8249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 60014 (CA) |
| Periodontics | 1223P0300X | 14245 (MD) |
| Periodontics Primary | 1223P0300X | 8075 (AZ) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1376799445
Xavier Mata, DMD, M.S.'s National Provider Identifier is 1376799445, issued on Aug 8, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 18, 2019.