Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAYNA L MATTOX, DDS
Active Sole ProprietorSHAYNA L MATTOX, DDS is a Pediatric Dentistry healthcare provider located in GRETNA, Nebraska. NPI 1811334857 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GRETNA, NE
Registration Details
- NPI Number
- 1811334857
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2013 (13.225028475843 yrs)
- Last Updated
- Aug 13, 2024
- License
-
7643 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10520 S 204TH ST STE CGRETNA, NE, 680284185Browse NE providers · Browse ZIP 68028
- Phone
- 4024036007
- Fax
- 4024031243
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.