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NPI Code Detail

MEDICARE: DR. MARK STEVEN MANCIN D.D.S.

MEDICARE:  DR. MARK STEVEN MANCIN  D.D.S.
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
11223G0001XGeneral Practice DentistryDE15278MO

General Provider Information

NPI Number : 1417020546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK STEVEN MANCIN D.D.S.
Provider Business Mailing Address
First Line : 7229 N OAK TRFY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-1852
Country : US
Telephone Number : 816-436-2760
Fax Number : 816-468-7034
Provider Business Practice Location Address
First Line : 7229 N OAK TRFY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-1852
Country : US
Telephone Number : 816-436-2760
Fax Number : 816-468-7034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARK STEVEN MANCIN D.D.S.” Practice Location

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