VINCENT R MANCUSO DDS NPI 1225056971

NPI Information

NPI: 1225056971
Provider Name: VINCENT R MANCUSO, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1730 WEST 25TH STREET
CLEVELAND, OH
ZIP 44113
Phone: (216) 861-5330
Get Directions

Vincent R Mancuso, DDS is a general practice dentist in Cleveland, OH. 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. Vincent R Mancuso, DDS NPI is 1225056971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1730 WEST 25TH STREET
CLEVELAND, OH
ZIP 44113-108
Phone: (216) 861-5330
Fax: (216) 623-7596

The enumeration date for this NPI number is 7/18/2006 and was last updated on 12/20/2012.

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	30-016451	OHIO	Yes

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
1	0490142	MEDICAID	OHIO

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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