MANSKE DENTAL CORPORATION NPI 1801280383

NPI Information

  • NPI: 1801280383
  • Provider Name: MANSKE DENTAL CORPORATION
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: MOUTHROVER
  • Address: 445 N ALFRED ST
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (424) 354-9336

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NPI Details

MANSKE DENTAL CORPORATION is a dental clinic center in Los Angeles, CA. MANSKE DENTAL CORPORATION NPI is 1801280383. The provider is registered as an organization entity type.
The provider Is Doing Business As Mouthrover.

The provider's business location address is:

445 N ALFRED ST
LOS ANGELES, CA
ZIP 90048-504
Phone: (424) 354-9336
Fax: (424) 322-4781

The provider's authorized official is Jessica Lynn Manske .
The authorized official title is Ceo and has the following contact phone number (424) 354-9336.

The enumeration date for this NPI number is 3/24/2015 and was last updated on 8/2/2024.

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
1261QD0000XClinic/CenterDental59357CALIFORNIAYes

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
11083926323MEDICAIDCALIFORNIA

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: 11/21/2025

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