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M & T Dermatology Services LLC

Dermatology Physician in Joplin, MO · enumerated 2005 · authorized official Mark Matlock, Owner.

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

National Provider Identifier

1083602015

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Registry record

Entity type Organization (Type 2)
Legal business name M & T Dermatology Services LLC
Practice address 2829 S Jackson Ave, Joplin, MO, 64804
Phone (417) 624-0440
Fax (417) 624-9652
Enumeration date Oct 13, 2005
Last updated in NPPES Nov 19, 2008

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Matlock
Title Owner
Phone (417) 624-0440

Other identifiers

Identifier Type State Issuer
506068501 Medicaid MO -
DA0571 Other - RAILROAD MEDICARE

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.

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Frequently asked questions

Who is the authorized official for M & T Dermatology Services LLC?
NPPES lists Mark Matlock (Owner) as the authorized official for this organization.
What is the NPI number for M & T Dermatology Services LLC?
The NPI for M & T Dermatology Services LLC is 1083602015, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-19.