Dr. Matthew Charles Mandeville is a Traverse City, Michigan based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Matthew Charles Mandeville is
2901015862 for Pediatric Dentistry in Michigan. His current practice location is
4944 Skyview Ct, Traverse City. Patients can reach him at
231-947-4566.
Dr. Matthew Charles Mandeville provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Matthew Charles Mandeville speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Matthew Charles Mandeville |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4944 Skyview Ct, Traverse City,
Michigan, 49684-7173 |
| Phone: | 231-947-4566 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1598812422 |
| NPI Enumeration Date: | 04 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Charles Mandeville are as mentioned below.
| License Number | Specialization | State | Status | |
| 2901015862 | Pediatric Dentistry | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Matthew Charles Mandeville such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2974192 | Medicaid | Michigan | |
| D158620 | Other | Michigan | BLUE CROSS BLUE SHIELD MI |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4944 Skyview Ct,
Traverse City, Michigan |
| Zip: | 49684-7173 |
| Phone Number: | 231-947-4566 |
Patients can reach Dr. Matthew Charles Mandeville at
4944 Skyview Ct, Traverse City, Michigan or can
call to book an appointment on 231-947-4566.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.