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Active NPI 1699256693 Individual Practitioner Male Practitioner

Dr. Marcelo Barbosa De Accioly Mattos , DMD

Dentist - General Practice • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Dr. Marcelo Mattos, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lexington, KY. Practice services are available at 800 ROSE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 Rose St

Lexington, KY 405364325

Telephone 8593237595
Associated Practice Facility / Clinic
🏢 University Of Kentucky Facility NPI 1518911338

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
218 Specialists

Practicing in Lexington, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 10400

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NE 125

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jeremy Thacker , MD

Radiology - Diagnostic Radiology

NPI 1003026295

Doctor of Medicine (M.D.)

Dr. Kirk Heitman , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003041849

Doctor of Medicine (M.D.)

Dr. Harish Ram , MD

Anesthesiology

NPI 1003128323

Doctor of Medicine (M.D.)

Yvonne Rice , APRN NP-C

Nurse Practitioner - Family

NPI 1003167495

APRNNPC

Dr. Vanessa Smith , MD

Pathology - Anatomic Pathology

NPI 1003170069

Doctor of Medicine (M.D.)

Jasmine Howard , APRN

Nurse Practitioner - Acute Care

NPI 1003193129

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 24, 2020

Registered at 800 ROSE ST # D104, LEXINGTON, KY 405367001 (Tel: 8593237595)

📍
Updated Practice Location December 20, 2019

Registered at 800 ROSE ST, LEXINGTON, KY 405364325 (Tel: 8593237595)

NPI Profile Active August 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2018

Registered at 2109 CUMING ST, OMAHA, NE 681024325 (Tel: 4022805990)

📍
Updated Business Mailing Address August 27, 2018

Registered at 2500 CALIFORNIA PLZ, OMAHA, NE 681780002 (Tel: 4022805054)

👤
Provider Name / Credentials Updated August 27, 2018

Recorded as MARCELO MATTOS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Dentist (License #125 in NE)

🟢
Initial NPI Registration & Enumeration August 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699256693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2018
Last Update: February 14, 2020
Sole Proprietor: No

Mailing Address

800 Rose St # D104

Lexington, KY 405367001

Phone: 8593237595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.