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

Nicholas Mattila, DDS

Individual provider General Practice Dentistry · NPI 1700105806

Nicholas Mattila, DDS is a General Practice Dentistry in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
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

1711 Shawano Ave
Green Bay, WI 54303-3215
Phone: (920) 494-9541
Fax: (920) 494-2026
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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 7014-15 (WI)

Record details

NPI number1700105806
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESJune 25, 2013

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