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

Mattie Elizabeth Eddleman

Individual provider General Practice Dentistry · NPI 1083346241

Mattie Elizabeth Eddleman is a General Practice Dentistry in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.

Licensed in
OK
In the registry since
2022

Practice location Address checks out

780 SW 19th St
Moore, OK 73160-3054
Phone: (402) 669-2590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7639 (OK)

Record details

NPI number1083346241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 23, 2022

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