Kelly Carrothers Mantei in St Augustine - General Practice

Kelly Carrothers Mantei - NPI 1508876566

Kelly Carrothers Mantei is a General Practice in St Augustine, Florida. Kelly Carrothers Mantei practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Carrothers Mantei is 1508876566. The last update date is 2016-05-09.

Kelly Carrothers Mantei's current location address is 2225 A1a S Ste A3, St Augustine, Florida. You can contact this provider via phone number 9044717300. The mailing address for Kelly Carrothers Mantei is 2225 A1a S Ste A3, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Carrothers Mantei
Address 2225 A1a S Ste A3, St Augustine, Florida
Phone Number 9044717300
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1508876566
Provider Enumeration Date 2006-08-09
Last Updated Date 2016-05-09

Provider Mailing Address Detail

Address 2225 A1a S Ste A3
City St Augustine
State Florida (FL)
Post Code 320806374
Phone Number 9044717300
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN15067
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kelly Carrothers Mantei

Could you please provide the complete street address where Kelly Carrothers Mantei is physically located?

The Kelly Carrothers Mantei is physically situated at the following address: 2225 A1A S Ste A3, St Augustine, FL, 320806374.

What is Kelly Carrothers Mantei's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Carrothers Mantei is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did the Kelly Carrothers Mantei receive its 1508876566?

The Kelly Carrothers Mantei was issued its 1508876566 on 2006-08-09, which is the date when the organization was assigned this unique identifier.

As of what date were the Kelly Carrothers Mantei's details last updated?

The information pertaining to the Kelly Carrothers Mantei, including its address, specialty, and other details, was most recently updated on 2016-05-09.

As of what date were the details related to Kelly Carrothers Mantei most recently updated or revised?

The information pertaining to Kelly Carrothers Mantei, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-09.

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