Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK MATTHEW MATSUMOTO, D.D.S.
ActiveDR. MARK MATTHEW MATSUMOTO, D.D.S. is a General Dentistry healthcare provider located in EDINA, Minnesota. NPI 1053369975 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EDINA, MN
Registration Details
- NPI Number
- 1053369975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.097912990402 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D8902 (MN)
Practice Information
- Address
-
5201 EDEN AVESUITE 120EDINA, MN, 554362316Browse MN providers · Browse ZIP 55436
- Phone
- 9527460225
- Fax
- 9527460225
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD J ANDERSON | D.D.S. | 1861498933 |
| JOSEPH SHAMA | — | 1992794028 |
| ROBERT LUTHER BODIN | — | 1033109061 |
| DR. RUSSELL N FRYS JR. | DDS | 1356328694 |
| DR. DALE C. LARSON | D.D.S. | 1881671758 |
| DR. JAMES D RAYMOND | DDS | 1679530471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.