Individual provider · Type 1 NPI
Matthew Charles Mandeville, DDS
Pediatric Dentistry · Traverse City, MI
NPI number
1598812422
Active
Practice location
4944 Skyview Ct
Traverse City, MI 49684-7173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2901015862 (MI) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5 other providers at this address
- John C. Hall, Dds, Ms, PCPeriodontics Traverse City, MI NPI 1265169197
- Northern Michigan Pediatric DentistryDental Clinic/Center Traverse City, MI NPI 1275685265
- Francesca RaccaPeriodontics Traverse City, MI NPI 1851024111
- James Michael Vanwingen, DDS, M.S.Pediatric Dentistry Traverse City, MI NPI 1306998828
- John Christopher Hall, DDS MSPeriodontics Traverse City, MI NPI 1952381154
Other pediatric dentistry providers in Traverse City
About NPI 1598812422
Matthew Charles Mandeville, DDS's National Provider Identifier is 1598812422, issued on Jan 4, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Traverse City, MI. The record was last updated on Jul 8, 2007.