Individual provider · Type 1 NPI

Kevin Mark Mattingly, DDS

General Practice Dentistry · Perryville, MO

NPI number 1407595887 Active

About NPI 1407595887

Kevin Mark Mattingly, DDS's National Provider Identifier is 1407595887, issued on Jun 2, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Perryville, MO. The record was last updated on Jun 2, 2022.