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MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS NPI 1639619323


NPI Information

NPI: 1639619323
Provider Name: MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 14D0976033

Address:
24600 S US HIGHWAY 52
2D
MANHATTAN, IL
ZIP 60442
Phone: (815) 478-9891
Get Directions

MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS is a dentist in Manhattan, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS NPI is 1639619323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24600 S US HIGHWAY 52
2D
MANHATTAN, IL
ZIP 60442-007
Phone: (815) 478-9891

The provider's authorized official is Christian Foltys .
The authorized official title is Dentist and has the following contact phone number (815) 478-9891.

The CLIA number assigned to this NPI record is 14D0976033 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/2/2017.


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
1122300000XDentist019021119ILLINOISYes

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

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