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

Individual provider General Practice Dentistry · NPI 1942306741

Dr. Mathew Robert Mouritsen, DMD is a General Practice Dentistry in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

49 Barkley Cir
Fort Myers, FL 33907
Phone: (239) 936-8616
Fax: (239) 936-1146
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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 265130 (UT)

Record details

NPI number1942306741
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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