M & T DERMATOLOGY SERVICES LLC – Dermatology Physician, NPI 1083602015

M & T DERMATOLOGY SERVICES LLC is a healthcare provider. based in Joplin, Missouri. specializing in Dermatology Physician. The NPI Number for M & T DERMATOLOGY SERVICES LLC is 1083602015

Main info

Organization
Name
M & T DERMATOLOGY SERVICES LLC
NPI
1083602015
Phone
(417) 624-0440
Address
2829 S JACKSON AVE
Authorized Official
MARK STEPHEN MATLOCK OWNER MD
Enumeration Date
13 October 2005
Last Update Date
19 November 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for M & T DERMATOLOGY SERVICES LLC

  • 2829, South Jackson Avenue, Joplin, Jasper County, Missouri, 64804, United States

    JOPLIN, MO 648042525

    Phone: (417) 624-0440

    Fax: (417) 624-9652

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64804)

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Reviews

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Frequently asked questions

What federal number belongs to M & T DERMATOLOGY SERVICES LLC?
The federal identifier for M & T DERMATOLOGY SERVICES LLC is NPI 1083602015.
Is M & T DERMATOLOGY SERVICES LLC active in the national directory?
M & T DERMATOLOGY SERVICES LLC's public NPI profile is in an active state.
Can you summarize M & T DERMATOLOGY SERVICES LLC's specialty in plain language?
Clinically, the directory lists M & T DERMATOLOGY SERVICES LLC with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for M & T DERMATOLOGY SERVICES LLC?
We surface Joplin, Missouri for M & T DERMATOLOGY SERVICES LLC based on available NPPES addresses.
How can I contact M & T DERMATOLOGY SERVICES LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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