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MARIYA MANOVA DMD P.C. NPI 1669610028

NPI Profile

NPI: 1669610028

Provider Name: MARIYA MANOVA DMD, P.C.

Classification: Dentist - 1223G0001X

Entity Type: Organization

Specialization: General Practice

Address:
2759 W 55TH ST
CHICAGO, IL
ZIP 60632

Phone: (501) 773-1233

MARIYA MANOVA DMD, P.C. is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARIYA MANOVA DMD, P.C. NPI is 1669610028. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2759 W 55TH ST
CHICAGO, IL
ZIP 60632-251
Phone: (501) 773-1233

The provider's authorized official is Mariya I Manova .
The authorized official title is President and has the following contact phone number (501) 773-1233.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/22/2009.

Map - Location of Practice

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 1223G0001X Dentist General Practice 019027529 ILLINOIS 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: 8/11/2015