DR. LOURDES ALEXANDRA MANIBO DDS NPI 1730312760

NPI Information

NPI: 1730312760
Provider Name: DR. LOURDES ALEXANDRA MANIBO, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
4800 LAKEWOOD RANCH BLVD
BRADENTON, FL
ZIP 34211
Phone: (941) 405-1600
Get Directions

DR. Lourdes Alexandra Manibo, DDS is a general practice dentist in Bradenton, FL. 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. DR. Lourdes Alexandra Manibo, DDS NPI is 1730312760. 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:

4800 LAKEWOOD RANCH BLVD
BRADENTON, FL
ZIP 34211-953
Phone: (941) 405-1600

The enumeration date for this NPI number is 8/25/2009 and was last updated on 11/11/2021.

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	DN19387	FLORIDA	Yes
2	1223G0001X	Dentist	General Practice	054531	NEW YORK	No

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

NPI Synchronization or Removal

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