JEFFREY RAY MATTILA D.D.SP.C. NPI 1548486079

NPI Information

  • NPI: 1548486079
  • Provider Name: JEFFREY RAY MATTILA, D.D.S,P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: SOUTHWEST DENTAL
  • Address: 200 LINCOLN AVE
    GRANTS, NM
    ZIP 87020
  • Phone: (505) 287-2000

Map and Directions

Get Directions

NPI Details

JEFFREY RAY MATTILA, D.D.S,P.C. is a general practice dentist in Grants, NM. The provider is 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. JEFFREY RAY MATTILA, D.D.S,P.C. NPI is 1548486079. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Southwest Dental.

The provider's business location address is:

200 LINCOLN AVE
GRANTS, NM
ZIP 87020-828
Phone: (505) 287-2000

The provider's authorized official is Jeffrey Ray Mattila .
The authorized official title is President and has the following contact phone number (505) 287-2000.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDD1754NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI