Steven A Mantegari in Jacksonville - Oral And Maxillofacial Surgery
Steven A Mantegari - NPI 1962459636
Steven A Mantegari is a Oral And Maxillofacial Surgery in Jacksonville, Florida. Steven A Mantegari practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Steven A Mantegari is 1962459636. The last update date is 2021-12-29.
Steven A Mantegari's current location address is 4765 Hodges Blvd Ste 6, Jacksonville, Florida. You can contact this provider via phone number 9048218881 and fax number 9046521666. The mailing address for Steven A Mantegari is 4765 Hodges Blvd Ste 6, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven A Mantegari |
|---|---|
| Address | 4765 Hodges Blvd Ste 6, Jacksonville, Florida |
| Phone Number | 9048218881 |
| Fax Number | 9046521666 |
| Sole Proprietor | Y |
| Credentials | DDS, MD |
NPI Number Detail
| NPI Number | 1962459636 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 4765 Hodges Blvd Ste 6 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322245279 |
| Phone Number | 9048218881 |
| Fax Number | 9046521666 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 15430 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code issued to Steven A Mantegari by the Centers for Medicare & Medicaid Services?
The Steven A Mantegari has been assigned the NPI (National Provider Identifier) 1962459636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Steven A Mantegari located?
The Steven A Mantegari is located at 4765 Hodges Blvd Ste 6, Jacksonville, FL 322245279.
What is Steven A Mantegari's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Steven A Mantegari is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date was the 1962459636 assigned to Steven A Mantegari?
The Steven A Mantegari was issued its 1962459636 on 2006-05-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Steven A Mantegari's details last updated?
The information pertaining to the Steven A Mantegari, including its address, specialty, and other details, was most recently updated on 2021-12-29.