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Dr. Matthew Charles Mandeville, DDS

Pediatric Dentistry in Traverse City, MI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598812422

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Registry record

Entity type Individual (Type 1)
Name Dr. Matthew Charles Mandeville
Credential DDS
Sex Male
Practice address 4944 Skyview Ct, Traverse City, MI, 49684
Phone (231) 947-4566
Enumeration date Jan 4, 2007
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223P0221X Pediatric Dentistry Dental Providers · License 2901015862 (MI) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
2974192 Medicaid MI -
D158620 Other MI BLUE CROSS BLUE SHIELD MI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Matthew Mandeville?
Matthew Mandeville is registered in NPPES with the primary taxonomy of Pediatric Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.