Konstantino J Mantis in Calumet City - General Practice
Konstantino J Mantis - NPI 1710193917
Konstantino J Mantis is a General Practice in Calumet City, Illinois. Konstantino J Mantis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Konstantino J Mantis is 1710193917. The last update date is 2007-07-08.
Konstantino J Mantis's current location address is 796 State Line Rd, Calumet City, Illinois. You can contact this provider via phone number 7088626970 and fax number 7088626975. The mailing address for Konstantino J Mantis is 796 State Line Rd, Calumet City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Konstantino J Mantis |
|---|---|
| Address | 796 State Line Rd, Calumet City, Illinois |
| Phone Number | 7088626970 |
| Fax Number | 7088626975 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1710193917 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 796 State Line Rd |
|---|---|
| City | Calumet City |
| State | Illinois (IL) |
| Post Code | 604094643 |
| Phone Number | 7088626970 |
| Fax Number | 7088626975 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Konstantino J Mantis by the Centers for Medicare & Medicaid Services (CMS)?
The Konstantino J Mantis has been assigned the NPI (National Provider Identifier) 1710193917. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Konstantino J Mantis is physically located?
The Konstantino J Mantis is situated at the following address: 796 State Line Rd, Calumet City, IL 604094643.
What is Konstantino J Mantis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Konstantino J Mantis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710193917 to Konstantino J Mantis?
The Konstantino J Mantis received its 1710193917 assignment from the Centers for Medicare & Medicaid Services on 2007-05-15.
When was the information regarding Konstantino J Mantis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Konstantino J Mantis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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