NPI 1003034976

Keith S Mattinson, DDS

Practitioner General Practice Dentistry Payson, UT

Practice location

Address: 1172 E 100 N Suite # 3, Payson, UT 84651-1667
Phone: (801) 465-5000

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1449899922 (UT)

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Registry record

NPI: 1003034976
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.