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Matthew Mandeville, DDS
NPI 1598812422 · on the registry since 2007
Practice
- Address
- 4944 Skyview Ct
Traverse City, MI 49684 - Phone
- (231) 947-4566
- Organisation at this address
- John C. Hall, Dds, Ms, Pc
Northern Michigan Pediatric DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan