Robert I. Mattice, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

8859 Issued in MI

Legal business name

ROBERT I. MATTICE, DDS, PC

Practice address

422 1St St
Manistee, MI 49660-1504

Phone

(231) 723-2954

Fax

(231) 723-3910

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Robert Mattice, DDS

Title

President

Phone

(231) 723-2954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1992240774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 1ST ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601504",
            "telephone_number": "231-723-2954",
            "fax_number": "231-723-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 1ST ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601504",
            "telephone_number": "231-723-2954",
            "fax_number": "231-723-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT I. MATTICE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-723-2954",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "8859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retirement Living Management of Manistee L.L.C.
• Claire Richardson
• Douglas Mark Richley, D.O.
• Christine Rivette, CHES
• Tamara Robbins
• Cheryl J Roberts, RD
• Joel Robinson, D.O.
• Tracy Robinson, NP
• Marisa Lynn Rogers
• Emilie Rohn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.