Mark Matthew Matsumoto, D.D.S.

General Practice Dentistry · Edina, MN

Individual Active NPI

NPI number 1053369975

Practice location

5201 Eden Ave
Suite 120
Edina, MN 55436-2316
Phone
(952) 746-0225
Fax
(952) 746-0225

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NPI record

NPI
1053369975
Entity type
Individual (Type 1)
Enumeration date
May 4, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D8902 MN

About Dr. Matsumoto

Mark Matthew Matsumoto, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5201 Eden Ave, Suite 120, Edina, MN 55436-2316. The NPI number 1053369975 was assigned on May 4, 2006 and the record was last updated on July 13, 2026.

Dr. Matsumoto lists a license in the registry: #D8902 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Matthew Matsumoto, D.D.S.?

The NPI number is 1053369975.

What is the phone number of Dr. Matsumoto?

The phone number listed for the practice location is (952) 746-0225.

Where is Dr. Matsumoto located?

5201 Eden Ave, Suite 120, Edina, MN 55436-2316.

What is the taxonomy code for Dr. Matsumoto?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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