DR. KRYSTAL MATTOX DDS NPI 1629555883

NPI Information

  • NPI: 1629555883
  • Provider Name: DR. KRYSTAL MATTOX, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 180 E BELT BLVD
    RICHMOND, VA
    ZIP 23224
  • Phone: (804) 783-2505

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NPI Details

DR. Krystal Mattox, DDS is a general practice dentist in Richmond, VA. 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. DR. Krystal Mattox, DDS NPI is 1629555883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

180 E BELT BLVD
RICHMOND, VA
ZIP 23224-204
Phone: (804) 783-2505

The NPI 1629555883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/20/2018 and was last updated on 6/7/2022.

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
1122300000XDentist0401416209VIRGINIANo
21223G0001XDentistGeneral Practice0401416209VIRGINIAYes

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

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