| John D Mancini Dds Pc | |
|
1415 S Lakeview Ave Sturgis MI 49091-2350 | |
| (269) 651-6345 | |
| Not Available |
| Full Name | John D Mancini Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1415 S Lakeview Ave, Sturgis, Michigan |
| Authorized Official Name and Position | John D Mancini (PRESIDENT) |
| Authorized Official Contact | 2696516345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Mancini Dds Pc 1415 S Lakeview Ave Sturgis MI 49091-2350 Ph: (269) 651-6345 | John D Mancini Dds Pc 1415 S Lakeview Ave Sturgis MI 49091-2350 Ph: (269) 651-6345 |
| NPI Number | 1922558964 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Medicare PECOS PAC ID | 6507823788 |
|---|---|
| Medicare Enrollment ID | O20041220000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922558964 | NPI | - | NPPES |
| P05230001 | Other | MI | MEDICARE IDENTIFICATION NUMBER (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Michigan) | Primary |
| Provider Name | John D Mancini |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558341271 PECOS PAC ID: 3577520758 Enrollment ID: I20161202002031 |
Jm Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Vinewood Ave, Sturgis, MI 49091 Phone: 269-651-6700 | |
Lake State Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Lakeview Ave, Sturgis, MI 49091 Phone: 302-841-0871 |