DR. JESSICA LYNN MANSKE D.D.S. NPI 1083926323

NPI Information

NPI: 1083926323
Provider Name: DR. JESSICA LYNN MANSKE, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1355 N SIERRA BONITA AVE APT 302
WEST HOLLYWOOD, CA
ZIP 90046
Phone: (424) 354-9336
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DR. Jessica Lynn Manske, D.D.S. is a pediatric dentistry dentist in West Hollywood, CA. 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. Jessica Lynn Manske, D.D.S. NPI is 1083926323. 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:

1355 N SIERRA BONITA AVE APT 302
WEST HOLLYWOOD, CA
ZIP 90046-518
Phone: (424) 354-9336
Fax: (424) 322-4781

The enumeration date for this NPI number is 7/1/2010 and was last updated on 1/4/2024.

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	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	59357	CALIFORNIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	59357	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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