# ROBERT S MATTINGLY DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063570323
- **Authorized official:** DR. ROBERT S MATTINGLY DMD (DENTIST OWNER)
- **Authorized official phone:** (812) 738-0108

## Contact information

- **Practice address:** 127 S CAPITOL AVE, CORYDON, IN 47112-1103
- **Practice address phone:** (812) 738-0108
- **Practice address fax:** (812) 738-7758
- **Mailing address:** 127 S CAPITOL AVE, PO BOX 387, CORYDON, IN 47112-1103
- **Mailing address phone:** (812) 738-0108
- **Mailing address fax:** (812) 738-7758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 09/25/2012