Edgar Mantilla in Minneapolis - General Practice
Edgar Mantilla - NPI 1538177944
Edgar Mantilla is a General Practice in Minneapolis, Minnesota. Edgar Mantilla practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edgar Mantilla is 1538177944. The last update date is 2014-10-24.
Edgar Mantilla's current location address is 2001 Bloomington Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6123013433 and fax number 6126274205. The mailing address for Edgar Mantilla is 2001 Bloomington Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Mantilla |
|---|---|
| Address | 2001 Bloomington Ave S, Minneapolis, Minnesota |
| Phone Number | 6123013433 |
| Fax Number | 6126274205 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1538177944 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2014-10-24 |
Provider Mailing Address Detail
| Address | 2001 Bloomington Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554043074 |
| Phone Number | 6123013433 |
| Fax Number | 6126274205 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D11889 |
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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 Edgar Mantilla's unique identification number?
The Edgar Mantilla has been assigned the NPI (National Provider Identifier) Number 1538177944 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Edgar Mantilla is physically located?
The Edgar Mantilla is physically situated at the following address: 2001 Bloomington Ave S, Minneapolis, MN, 554043074.
What is the Edgar Mantilla's area of specialization and corresponding taxonomy classification?
The Edgar Mantilla's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1538177944 to Edgar Mantilla?
The Centers for Medicare & Medicaid Services assigned the 1538177944 to Edgar Mantilla on 2006-08-03.
When was the information regarding Edgar Mantilla most recently updated?
The details pertaining to the Edgar Mantilla, including its address, specialty, and other relevant information, were last refreshed on 2014-10-24.