Laurie Manthos in Worcester - Oral And Maxillofacial Surgery

Laurie Manthos - NPI 1295941607

Laurie Manthos is a Oral And Maxillofacial Surgery in Worcester, Massachusetts. Laurie Manthos practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Laurie Manthos is 1295941607. The last update date is 2007-07-08.

Laurie Manthos's current location address is 200 Lincoln St, Worcester, Massachusetts. You can contact this provider via phone number 5087522100 and fax number 5087520304. The mailing address for Laurie Manthos is 200 Lincoln St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie Manthos
Address 200 Lincoln St, Worcester, Massachusetts
Phone Number 5087522100
Fax Number 5087520304
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1295941607
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 Lincoln St
City Worcester
State Massachusetts (MA)
Post Code 16052528
Phone Number 5087522100
Fax Number 5087520304

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 16823
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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FAQs about Laurie Manthos

What is the Laurie Manthos's 1295941607?

The Laurie Manthos's NPI (National Provider Identifier) Number is 1295941607. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Laurie Manthos is physically located?

The Laurie Manthos is physically situated at the following address: 200 Lincoln St, Worcester, MA, 16052528.

What is Laurie Manthos's specialized field of practice, and what is the corresponding taxonomy classification code?

The Laurie Manthos's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.

On what date did the Laurie Manthos receive its 1295941607 assignment from the Centers for Medicare & Medicaid Services?

The Laurie Manthos was assigned its 1295941607 by the Centers for Medicare & Medicaid Services on 2007-05-15.

As of what date were the details pertaining to Laurie Manthos last refreshed?

The information related to the Laurie Manthos, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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