Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY MATTA, DDS
ActiveDR. MARY MATTA, DDS is a Dentist healthcare provider located in LATHRUP VILLAGE, Michigan. NPI 1790668465 is currently active in the NPPES registry. Verify at CMS.
Dentist · LATHRUP VILLAGE, MI
Registration Details
- NPI Number
- 1790668465
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2025 (1.0332181432883 yrs)
- Last Updated
- Jul 29, 2025
- License
-
2901602769 (MI)
Practice Information
- Address
-
18181 W 12 MILE RD STE 4LATHRUP VILLAGE, MI, 480762666Browse MI providers · Browse ZIP 48076
- Phone
- 2485575756
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LATHRUP VILLAGE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM STUTMAN | DDS | 1568402634 |
| DR. JEFFREY STUTMAN | DDS | 1770597791 |
| DR. SHARON DENISE STEWART | D.D.S. | 1992998421 |
| ANN PHAM | DDS | 1851704316 |
| MARIAN HANNAH IBRAHIM | D.D.S. | 1295353829 |
| DR. JORDAN RABBAN | — | 1033737374 |
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.