Mary Matta, DDS

Dentist · Casselberry, FL

Individual Active NPI

NPI number 1790668465

Practice location

2525 Howell Branch Rd Ste 1051
Casselberry, FL 32707-6574
Phone
(321) 306-0908

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NPI record

NPI
1790668465
Entity type
Individual (Type 1)
Enumeration date
July 29, 2025
Last updated
May 18, 2026
Certified
May 18, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN30924 FL

Mailing address

1737 Grand Rue Dr
Casselberry, FL 32707-2427
Phone
(313) 424-3251

About Dr. Matta

Mary Matta, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2525 Howell Branch Rd Ste 1051, Casselberry, FL 32707-6574. The NPI number 1790668465 was assigned on July 29, 2025 and the record was last updated on May 18, 2026.

Dr. Matta lists a license in the registry: #DN30924 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Matta, DDS?

The NPI number is 1790668465.

What is the phone number of Dr. Matta?

The phone number listed for the practice location is (321) 306-0908.

Where is Dr. Matta located?

2525 Howell Branch Rd Ste 1051, Casselberry, FL 32707-6574.

What is the taxonomy code for Dr. Matta?

The primary taxonomy code is 122300000X – Dentist.

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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