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HEATHER M. MANOGUE D.M.D. NPI 1265635353


NPI Information

NPI: 1265635353
Provider Name: HEATHER M. MANOGUE, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1400 6TH AVE S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 930-1015
Get Directions

Heather M. Manogue, D.M.D. is a general practice dentist in Birmingham, AL. 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. Heather M. Manogue, D.M.D. NPI is 1265635353. 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:

1400 6TH AVE S
BIRMINGHAM, AL
ZIP 35233-502
Phone: (205) 930-1015
Fax: (205) 930-1448

The enumeration date for this NPI number is 6/7/2007 and was last updated on 3/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5589ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558437905OTHERALABAMAGROUP PAYEE NPI
2515-98179OTHERALABAMABLUE SHIELD OF ALABAMA
3515-98177OTHERALABAMABLUE SHIELD OF ALABAMA
4515-98180OTHERALABAMABLUE SHIELD OF ALABAMA
5110235MEDICAIDALABAMA
6110259MEDICAIDALABAMA
7515-98178OTHERALABAMABLUE SHIELD OF ALABAMA
8110180MEDICAIDALABAMA
91356417935OTHERALABAMAGROUP PAYEE NPI
101245305572OTHERALABAMAGROUP PAYEE NPI
111861567190OTHERALABAMAGROUP PAYEE NPI
12110186MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.