Richard J. Mantoan in Flossmoor - General Practice

Richard J. Mantoan - NPI 1740283605

Richard J. Mantoan is a General Practice in Flossmoor, Illinois. Richard J. Mantoan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard J. Mantoan is 1740283605. The last update date is 2007-07-08.

Richard J. Mantoan's current location address is 19815 Governors Hwy, Flossmoor, Illinois. You can contact this provider via phone number 7087997800 and fax number 7087994864. The mailing address for Richard J. Mantoan is 19815 Governors Hwy, Flossmoor, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard J. Mantoan
Address 19815 Governors Hwy, Flossmoor, Illinois
Phone Number 7087997800
Fax Number 7087994864
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1740283605
Provider Enumeration Date 2005-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19815 Governors Hwy
City Flossmoor
State Illinois (IL)
Post Code 6042243880
Phone Number 7087997800
Fax Number 7087994864

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19A15308
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 Richard J. Mantoan

What is the unique provider identifier assigned to Richard J. Mantoan?

The Richard J. Mantoan has been issued the NPI (National Provider Identifier) 1740283605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Richard J. Mantoan is geographically located?

The Richard J. Mantoan is physically situated at the following location: 19815 Governors Hwy, Flossmoor, IL, 6042243880.

What is Richard J. Mantoan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard J. Mantoan is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740283605 to Richard J. Mantoan?

The Centers for Medicare & Medicaid Services assigned the 1740283605 to Richard J. Mantoan on 2005-05-24.

When was the information related to Richard J. Mantoan most recently updated or refreshed?

The details pertaining to the Richard J. Mantoan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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