Fereidon Wolfgang Manssuri, DDS is a
Dentist based in Centreville, Maryland. Fereidon Wolfgang Manssuri is licensed to practice in Maryland (license number 12053) and his current practice location is
134 Coursevall Drive, Centreville, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 758-1424.
NPI number for Fereidon Wolfgang Manssuri is 1447475140 and his current mailing address is 134 Coursevall Drive, Centreville, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447475140.
Healthcare Provider's Profile
Full Name | Fereidon Wolfgang Manssuri |
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Gender | Male |
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Speciality | Dentist |
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Location | 134 Coursevall Drive, Centreville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447475140
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Fereidon Wolfgang Manssuri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447475140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12053 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fereidon Wolfgang Manssuri is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fereidon Wolfgang Manssuri, DDS 134 Coursevall Drive, Centreville, MD 21617 Ph: (410) 758-1424 | Fereidon Wolfgang Manssuri, DDS 134 Coursevall Drive, Centreville, MD 21617 Ph: (410) 758-1424 |
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