Individual provider · Type 1 NPI

Mary Matta, DDS

Dentist · Casselberry, FL

NPI number 1790668465 Active

Practice location

2525 Howell Branch Rd Ste 1051
Casselberry, FL 32707-6574

Mailing address

1737 Grand Rue Dr
Casselberry, FL 32707-2427

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN30924 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1790668465

Mary Matta, DDS's National Provider Identifier is 1790668465, issued on Jul 29, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Casselberry, FL. The record was last updated on May 18, 2026.