DR. VANESSA LYNN MANCUSO DDS MSD NPI 1649885492

NPI Information

NPI: 1649885492
Provider Name: DR. VANESSA LYNN MANCUSO, DDS, MSD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
1312 E BROWARD BLVD
FORT LAUDERDALE, FL
ZIP 33301
Phone: (786) 449-4262
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DR. Vanessa Lynn Mancuso, DDS, MSD is a periodontics dentist in Fort Lauderdale, FL. The provider is 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 structures and tissues. DR. Vanessa Lynn Mancuso, DDS, MSD NPI is 1649885492. 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:

1312 E BROWARD BLVD
FORT LAUDERDALE, FL
ZIP 33301-136
Phone: (786) 449-4262

The enumeration date for this NPI number is 9/9/2020 and was last updated on 4/26/2024.

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	1223P0300X	Dentist	Periodontics	DN25475	FLORIDA	Yes

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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