Organization
ROBERT S MATTINGLY DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S MATTINGLY DMD (DENTIST OWNER)
(812) 738-0108
Entity
Organization
Contact information
Practice address
127 S CAPITOL AVE, CORYDON, IN 47112-1103
(812) 738-0108
(812) 738-7758
Mailing address
127 S CAPITOL AVE, PO BOX 387, CORYDON, IN 47112-1103
(812) 738-0108
(812) 738-7758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
09/25/2012
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