Celeste Fuentes-Mattson

Primary specialty

DentistTaxonomy code 122300000X

License

D15127 Issued in MN

Practice address

7700 2ND Ave
Detroit, MI 48202-2477

Phone

(313) 202-8500

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnesota Dental Professionals, P.C.

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1871167932
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1184460255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022477",
            "telephone_number": "313-202-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES-MATTSON",
        "first_name": "CELESTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Fu
• Holly Fuchs, DNAP, CRNA
• Jennifer N Fucile, FNP-C
• Stephanie Fudalla, PT, DPT
• Andres Adolfo Fuentes Baldemar, MD, MMSC
• Hanaka Fukada, M.D.
• Samir F Fuleihan, M.D.
• Evan Theodore Fulford, LMSW
• Alisha Jasina Fulks, BSW
• Elizabeth Anne Marie Fulks, CPNP-AC

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.