Mary Matta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN30924 Issued in FL

Practice address

2525 Howell Branch Rd Ste 1051
Casselberry, FL 32707-6574

Phone

(321) 306-0908

NPI assigned

Jul 29, 2025

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.

• Lifetime Dental Care of Michigan, P.C.

  • General Practice Dentistry
  • Lathrup Village, MI
  • NPI 1932857836
  NPD
• Affordable Dental Care PLLC

  • Dental Clinic/Center
  • Lathrup Village, MI
  • NPI 1003247768
  NPD (past)

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1790668465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 GRAND RUE DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072427",
            "telephone_number": "313-424-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HOWELL BRANCH RD STE 1051",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076574",
            "telephone_number": "321-306-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Martinez, PA-C
• Stephanie Martinez
• Morteza Mashkouri, M.D.
• Amy Jeannine Mather, MSW
• Jennie Mathieu
• Renee B Matthews, MS, RDN, LD
• Leon Maultsby
• Angela Mautino
• Teena K McCane, CHNP
• Shannon Natalie McCarthy

• Dentist in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.