Kenneth Paul Manning in Greenville - Dentist

Kenneth Paul Manning - NPI 1215106281

Kenneth Paul Manning is a Dentist in Greenville, North Carolina. Kenneth Paul Manning practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Paul Manning is 1215106281. The last update date is 2008-02-25.

Kenneth Paul Manning's current location address is 2403 Charles Blvd, Greenville, North Carolina. You can contact this provider via phone number 2527563333 and fax number 2527561397. The mailing address for Kenneth Paul Manning is 2403 Charles Blvd, Greenville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Paul Manning
Address 2403 Charles Blvd, Greenville, North Carolina
Phone Number 2527563333
Fax Number 2527561397
Sole Proprietor Y
Credentials DENTIST

NPI Number Detail

NPI Number 1215106281
Provider Enumeration Date 2008-02-25
Last Updated Date 2008-02-25

Provider Mailing Address Detail

Address 2403 Charles Blvd
City Greenville
State North Carolina (NC)
Post Code 278585925
Phone Number 2527563333
Fax Number 2527561397

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 6697
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9004R NC BCBS

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FAQs about Kenneth Paul Manning

What is the unique identifier code issued to Kenneth Paul Manning by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth Paul Manning has been assigned the NPI (National Provider Identifier) 1215106281. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Kenneth Paul Manning's physical address?

The Kenneth Paul Manning is physically located at 2403 Charles Blvd, in the city of Greenville, NC, with the postal code 278585925.

What is Kenneth Paul Manning's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth Paul Manning's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date was the 1215106281 assigned to Kenneth Paul Manning?

The Kenneth Paul Manning was issued its 1215106281 on 2008-02-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kenneth Paul Manning most recently updated or revised?

The information pertaining to Kenneth Paul Manning, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-25.

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