MEDICARE: MATTEEN ROHY KASHEF DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6002188-15	WI
2	122300000X	Dentist	DN31651	FL

General Provider Information

NPI Number	:	1386575413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTEEN ROHY KASHEF DMD

Provider Business Mailing Address
First Line	:	574 QUEENS HARBOR BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-4146
Country	:	US
Telephone Number	:	904-352-3972
Fax Number	:

Provider Business Practice Location Address
First Line	:	7807 BAYMEADOWS RD E STE 206
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9666
Country	:	US
Telephone Number	:	904-731-1919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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