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

JEFFREY RAY MATTILA, D.D.S,P.C.

Active Organization

JEFFREY RAY MATTILA, D.D.S,P.C. is a General Dentistry organization located in GRANTS, New Mexico. NPI 1548486079 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GRANTS, NM

Registration Details

NPI Number
1548486079
Provider Type
Organization
NPI Issued
Apr 17, 2007 (19.335153541725 yrs)
Last Updated
Aug 22, 2020
License
DD1754 (NM)

Practice Information

Address
200 LINCOLN AVE
GRANTS, NM, 870202828
Browse NM providers · Browse ZIP 87020
Phone
5052872000
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in GRANTS, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.