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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. XAVIER MATA, D.M.D., M.S.

Active Sole Proprietor

DR. XAVIER MATA, D.M.D., M.S. is a Periodontology healthcare provider located in PHOENIX, Arizona. NPI 1376799445 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PHOENIX, AZ

Registration Details

NPI Number
1376799445
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2008 (17.974745353955 yrs)
Last Updated
Jun 18, 2019
Licenses
60014 (CA)
14245 (MD)
8075 (AZ)
Sole Proprietor
Yes

Practice Information

Address
8608 S 30TH WAY
PHOENIX, AZ, 850428249
Browse AZ providers · Browse ZIP 85042
Phone
4802681569
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in PHOENIX, AZ

Name Credential NPI
ALEXANDRE AALAM DDS 1780658039
DR. SAUL EDGARDO GRAJALES DMD MSD 1033171889
DR. ANN HAMMI-BLUE D.D.S., M.S., P.C. 1174588941
DR. LAURENCE SCOTT AMBROSE D.D.S., M.S. 1699700385
DR. GARY BERNARD D.D.S. 1770501496
DR. REX TRAVIS BUTLER DDS 1245348705
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.