DR. CYNTHIA ANN MANDERS D.D.S. NPI 1447383641

NPI Information

NPI: 1447383641
Provider Name: DR. CYNTHIA ANN MANDERS, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
115 N DIXIE DR
SUITE 310
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 297-2308
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DR. Cynthia Ann Manders, D.D.S. is a pediatric dentistry dentist in Lake Jackson, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Cynthia Ann Manders, D.D.S. NPI is 1447383641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 N DIXIE DR
SUITE 310
LAKE JACKSON, TX
ZIP 77566-903
Phone: (979) 297-2308
Fax: (979) 297-3737

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	15346	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D-15346	OTHER	TEXAS	BCBS OF TEXAS
2	76-0337233	OTHER	TEXAS	DENTA-CARE
3	76-0337233	OTHER	TEXAS	FISERV BENEFIT PLANNERS
4	76-0337233	OTHER	TEXAS	DELTA DENTAL
5	76-0337233	OTHER	TEXAS	CIGNA
6	1208175-01	MEDICAID	TEXAS
7	76-0337233	OTHER	TEXAS	METLIFE
8	76-0337233	OTHER	TEXAS	AETNA DENTAL
9	76-0337233	OTHER	TEXAS	UNITEDHEALTH CARE
10	76-0337233	OTHER	TEXAS	LIFE RE
11	736506	OTHER	TEXAS	TRICARE DENTAL PROGRAM
12	76-0337233	OTHER	TEXAS	UNICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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