Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083346241 Individual Practitioner Female Practitioner

Mattie Elizabeth Eddleman

Dentist - General Practice • Moore, OK

Professional Overview & Biography Verified Profile Summary

Mattie Eddleman is a registered healthcare professional specializing in Dentist - General Practice in Moore, OK. Practice services are available at 780 SW 19TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

780 Sw 19th St

Moore, OK 731603054

Telephone 4026692590

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Moore, OK (1496 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: 2022-06-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 7639

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2022

Registered at 780 SW 19TH ST, MOORE, OK 731603054 (Tel: 4026692590)

📍
Updated Business Mailing Address June 27, 2022

Registered at 780 SW 19TH ST, MOORE, OK 731603054

👤
Provider Name / Credentials Updated June 27, 2022

Recorded as MATTIE EDDLEMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Dentist (License #7639 in OK)

🟢
Initial NPI Registration & Enumeration June 27, 2022

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: 1083346241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2022
Last Update: June 27, 2022
Sole Proprietor: No

Mailing Address

780 Sw 19th St

Moore, OK 731603054

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.