Andrew W Mattson DDS LLC
Andrew W Mattson DDS LLC is a healthcare organization registered as General Practice Dentistry in Boardman, OH, holding Type 2 (organization) NPI 1205380888 since 2016. The authorized official on file is Andrew Mattson, Sole Proprietor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205380888 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Andrew W Mattson DDS LLC |
| Practice address | 55 ROCHE WAY, Boardman, OH, 44512 |
| Phone | 3307580536 |
| Fax | 3307580854 |
| Enumeration date | 2016-08-11 |
| Last updated in NPPES | 2016-08-11 |
Authorized official
| Name | Andrew Mattson |
|---|---|
| Title | Sole Proprietor |
| Phone | 3307580536 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 30024504 | OH |
Copy-ready billing details
Provider: Andrew W Mattson DDS LLC NPI: 1205380888 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 55 ROCHE WAY, Boardman, OH, 44512
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376922443 | Andrew Mattson | Individual | General Practice Dentistry | Youngstown, OH |
Verify this record
Cross-check NPI 1205380888 against the authoritative CMS record: view Andrew W Mattson DDS LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-11.