Dr Matthew Charles Mandeville, DDS - Dentist in Traverse City, MI

Dr Matthew Charles Mandeville, DDS is a Dentist - Pediatric Dentistry based in Traverse City, Michigan. Dr Matthew Charles Mandeville is licensed to practice in Michigan (license number 2901015862) and his current practice location is 4944 Skyview Ct, Traverse City, Michigan. He can be reached at his office (for appointments etc.) via phone at (231) 947-4566.

NPI number for Dr Matthew Charles Mandeville is 1598812422 and his current mailing address is 4944 Skyview Ct, Traverse City, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598812422.

Contact Information

Dr Matthew Charles Mandeville, DDS
4944 Skyview Ct,
Traverse City, MI 49684-7173
(231) 947-4566
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Matthew Charles Mandeville
GenderMale
SpecialityDentist - Pediatric Dentistry
Location4944 Skyview Ct, Traverse City, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598812422
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Matthew Charles Mandeville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598812422NPI-NPPES
2974192MedicaidMI
D158620OtherMIBLUE CROSS BLUE SHIELD MI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 2901015862 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Charles Mandeville is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matthew Charles Mandeville, DDS
4944 Skyview Ct,
Traverse City, MI 49684-7173

Ph: (231) 947-4566
Dr Matthew Charles Mandeville, DDS
4944 Skyview Ct,
Traverse City, MI 49684-7173

Ph: (231) 947-4566

Reviews and Comments


Dentist in Traverse City, MI

Dr. John S Kerns, DDS
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Dr. Jason F Hall, D.D.S.,M.S.
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Phone: 231-946-2497    
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Phone: 231-946-9644    

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