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RAKESHMANTENA DDS CORP NPI 1861891079


NPI Information

NPI: 1861891079
Provider Name: RAKESHMANTENA DDS CORP

Doing Business As: EL DORADO HILLS TOWN CENTER DENTAL

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
4355 TOWN CENTER BLVD
SUITE 211
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 939-6777
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RAKESHMANTENA DDS CORP is a point of service in El Dorado Hills, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. RAKESHMANTENA DDS CORP NPI is 1861891079. The provider is registered as an organization entity type.
The provider Is Doing Business As El Dorado Hills Town Center Dental.

The provider's business location address is:

4355 TOWN CENTER BLVD
SUITE 211
EL DORADO HILLS, CA
ZIP 95762-115
Phone: (916) 939-6777
Fax: (916) 939-5077

The provider's authorized official is Rakesh Mantena .
The authorized official title is President and has the following contact phone number (916) 718-0005.

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/14/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service58253CALIFORNIAYes

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

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