# ROBERT I. MATTICE, DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992240774
- **Authorized official:** ROBERT MATTICE DDS (PRESIDENT)
- **Authorized official phone:** (231) 723-2954

## Contact information

- **Practice address:** 422 1ST ST, MANISTEE, MI 49660-1504
- **Practice address phone:** (231) 723-2954
- **Practice address fax:** (231) 723-3910
- **Mailing address:** 422 1ST ST, MANISTEE, MI 49660-1504
- **Mailing address phone:** (231) 723-2954
- **Mailing address fax:** (231) 723-3910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8859 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/03/2017