Katherine Mantzikos in Fresh Meadows - Periodontics
Katherine Mantzikos - NPI 1396961546
Katherine Mantzikos is a Periodontics in Fresh Meadows, New York. Katherine Mantzikos practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Katherine Mantzikos is 1396961546. The last update date is 2007-07-08.
Katherine Mantzikos's current location address is 5031 194th St, Fresh Meadows, New York. You can contact this provider via phone number 9178330295. The mailing address for Katherine Mantzikos is 5031 194th St, Fresh Meadows, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Mantzikos |
|---|---|
| Address | 5031 194th St, Fresh Meadows, New York |
| Phone Number | 9178330295 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1396961546 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5031 194th St |
|---|---|
| City | Fresh Meadows |
| State | New York (NY) |
| Post Code | 113651238 |
| Phone Number | 9178330295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 50197 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code issued to Katherine Mantzikos by the Centers for Medicare & Medicaid Services?
The Katherine Mantzikos has been assigned the NPI (National Provider Identifier) 1396961546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Katherine Mantzikos?
The Katherine Mantzikos is physically situated at 5031 194Th St, in the city of Fresh Meadows, state of NY, with the postal code 113651238.
What is Katherine Mantzikos's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katherine Mantzikos is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396961546 to Katherine Mantzikos?
The Katherine Mantzikos received its 1396961546 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the Katherine Mantzikos's information last updated?
The Katherine Mantzikos's information was last updated on 2007-07-08.