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

Dr. Kevin Mark Mattingly, DDS

Individual provider General Practice Dentistry · NPI 1407595887

Dr. Kevin Mark Mattingly, DDS is a General Practice Dentistry in Perryville, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
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.

See every abbreviation used in this directory →

Practice location Address checks out

22 S West St
Perryville, MO 63775-2547
Phone: (573) 547-6691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2022018780 (MO)

Record details

NPI number1407595887
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address22 S West St, Perryville, MO 63775-2547

Other providers in Perryville