OrganizationActive
Jeffrey Ray Mattila, D.d.s,p.c.
NPI 1548486079 · General Practice Dentistry · Grants, NM
Jeffrey Ray Mattila, D.d.s,p.c. is a General Practice Dentistry organization in Grants, NM (NPI 1548486079).
Provider details
- NPI number
- 1548486079
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Mattila, President(505) 287-2000
- License
- DD1754 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
200 Lincoln Ave
Grants, NM 87020-2828
Phone: (505) 287-2000
Street-level locationGet directions
Mailing address
200 Lincoln Ave
Grants, NM 87020-2828
Other names (DBA / former)
- Other name
- Southwest Dental
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jeffrey Ray Mattila, D.d.s,p.c.'s NPI number?
- Jeffrey Ray Mattila, D.d.s,p.c.'s National Provider Identifier (NPI) is 1548486079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey Ray Mattila, D.d.s,p.c.?
- Jeffrey Ray Mattila, D.d.s,p.c. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jeffrey Ray Mattila, D.d.s,p.c. located?
- Jeffrey Ray Mattila, D.d.s,p.c.'s practice location on file with NPPES is 200 Lincoln Ave, Grants, NM 87020-2828.
- What is Jeffrey Ray Mattila, D.d.s,p.c.'s phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Ray Mattila, D.d.s,p.c. is (505) 287-2000.
- Who is the authorized official for Jeffrey Ray Mattila, D.d.s,p.c.?
- The authorized official listed on Jeffrey Ray Mattila, D.d.s,p.c.'s NPPES record is Jeffrey Mattila, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey Ray Mattila, D.d.s,p.c.'s NPI active?
- Yes — Jeffrey Ray Mattila, D.d.s,p.c.'s NPI (1548486079) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.