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DR. JOHN MANTINAOS DMD NPI 1639328677


NPI Information

NPI: 1639328677
Provider Name: DR. JOHN MANTINAOS, DMD
Classification: Dentist - 122300000X
Entity Type: Individual
Address:
5203 BROADWAY ST
QUINCY, IL
ZIP 62305
Phone: (217) 577-2400
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DR. John Mantinaos, DMD is a dentist in Quincy, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. John Mantinaos, DMD NPI is 1639328677. 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:

5203 BROADWAY ST
QUINCY, IL
ZIP 62305-110
Phone: (217) 577-2400
Fax: (217) 228-1032

The enumeration date for this NPI number is 9/15/2008 and was last updated on 10/23/2014.


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
1122300000XDentist048817-1NEW YORKNo
2122300000XDentist12011569AINDIANANo
3122300000XDentist019028483ILLINOISYes
4122300000XDentist22DI02373800NEW JERSEYNo
5122300000XDentistDS036424PENNSYLVANIANo
6122300000XDentistDN20160MASSACHUSETTSNo

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: 5/5/2024

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.