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NPI Code Detail

MEDICARE: KEVIN MANCINI DMD PLLC

MEDICARE: KEVIN MANCINI DMD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1891650875
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEVIN MANCINI DMD PLLC
Provider Business Mailing Address
First Line : 61 N HAMPSTEAD VILLAGE DR
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-3932
Country : US
Telephone Number : 910-270-3334
Fax Number :
Provider Business Practice Location Address
First Line : 61 N HAMPSTEAD VILLAGE DR
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-3932
Country : US
Telephone Number : 910-270-3334
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KEVIN MANCINI
Credential :
Telephone Number : 910-270-3334
Provider Enumeration Date : 12/22/2025
Last Update Date : 01/19/2026

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