IndividualActive
Mattie Eddleman
NPI 1083346241 · General Practice Dentistry · Moore, OK
Mattie Eddleman is a General Practice Dentistry provider in Moore, OK (NPI 1083346241).
Provider details
- NPI number
- 1083346241
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7639 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
780 Sw 19th St
Moore, OK 73160-3054
Phone: (402) 669-2590
Street-level locationGet directions
Mailing address
780 Sw 19th St
Moore, OK 73160-3054
Registry dates
- Enumerated
- 2022-06-27
- Last updated
- 2022-06-27
- Certified
- 2022-06-23
Frequently asked questions
- What is Mattie Eddleman's NPI number?
- Mattie Eddleman's National Provider Identifier (NPI) is 1083346241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mattie Eddleman's specialty?
- Mattie Eddleman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mattie Eddleman located?
- Mattie Eddleman's practice location on file with NPPES is 780 Sw 19th St, Moore, OK 73160-3054.
- What is Mattie Eddleman's phone number?
- The practice phone number listed in the NPPES registry for Mattie Eddleman is (402) 669-2590.
- Is Mattie Eddleman's NPI active?
- Yes — Mattie Eddleman's NPI (1083346241) is active in the NPPES registry as of the last update on 2022-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.