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

Dr. Michael Mattingly, DDS

Individual provider General Practice Dentistry · NPI 1720200165

Dr. Michael Mattingly, DDS is a General Practice Dentistry in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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

3255 Lyndale Ave S
Minneapolis, MN 55408-3647
Phone: (612) 822-8968
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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 9998 (MN)

Record details

NPI number1720200165
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3255 Lyndale Ave S, Minneapolis, MN 55408-3647

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