Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles William Mattis, DDS

Individual provider Dentist · NPI 1093298085

Charles William Mattis, DDS is a Dentist in Bradenton, Florida. Licensed in Florida and Texas. Registered with an NPI since 2018.

Licensed in
FL, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4800 Lakewood Ranch Blvd
Bradenton, FL 34211-4953
Phone: (941) 405-1603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14784 (TX)
Dentist Taxonomy 122300000X · Licence 685 (FL)

Record details

NPI number1093298085
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 14, 2018
Last updated in NPPESSeptember 14, 2018
Mailing address1820 Ne Jensen Beach Blvd, Jensen Beach, FL 34957-7212

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