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

Individual provider Periodontics · NPI 1376799445

Dr. Xavier Mata, DMD, MS is a Periodontics in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona, California and Maryland.

Licensed in
AZ, CA, MD
In the registry since
2008
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

8608 S 30th Way
Phoenix, AZ 85042-8249
Phone: (480) 268-1569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 8075 (AZ)
Periodontics Taxonomy 1223P0300X · Licence 60014 (CA)
Periodontics Taxonomy 1223P0300X · Licence 14245 (MD)

Record details

NPI number1376799445
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedAugust 8, 2008
Last updated in NPPESJune 18, 2019
Mailing address8608 S 30th Way, Phoenix, AZ 85042-8249

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