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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.