MEDICARE: INTO WHITE DENTAL ARTS, 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
1	261QD0000X	Dental Clinic/Center	5067165	NY

General Provider Information

NPI Number	:	1790921062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTO WHITE DENTAL ARTS, PLLC

Provider Business Mailing Address
First Line	:	4743 VERNON BLVD
Second Line	:	GROUND FLOOR
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5519
Country	:	US
Telephone Number	:	718-361-3050
Fax Number	:

Provider Business Practice Location Address
First Line	:	4743 VERNON BLVD
Second Line	:	GROUND FLOOR
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5519
Country	:	US
Telephone Number	:	718-361-3050
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST-PROSTHODONTIST
Name	:	DR. STEVEN KONSTANTINE MANTINAOS
Credential	:	D.D.S.
Telephone Number	:	718-361-3050

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	11/05/2011

Similar Medicare Providers

1831032390 — PAULA G SPERA
Practice Location Address:

475 48TH AVE APT 1908
LONG ISLAND CITY, NY
11109-5519

Practice Phone: 646-724-2355
Practice Fax:

1376822841 — MR. TROY V ZELONES
Practice Location Address:

5519 E DAGGETT ST
LONG BEACH, CA
90815-3133

Practice Phone: 562-301-2347
Practice Fax:

1154477594 — MAISEN MEDICAL PRACTICE, INC
Practice Location Address:

1453 W ISLAND CLUB SQ
VERO BEACH, FL
32963-5519

Practice Phone: 772-234-2598
Practice Fax: 772-365-0333

1720468473 — LOWCOUNTRY HEALTHCARE, LLC
Practice Location Address:

9350 S PADRE ISLAND DR , 113
CORPUS CHRISTI, TX
78418-5519

Practice Phone: 330-472-0372
Practice Fax:

1558640276 — MS. BOBBI ANNE FOSBURG LCSW
Practice Location Address:

3070 RASMUSSEN RD STE 170
PARK CITY, UT
84098-5519

Practice Phone: 435-640-3420
Practice Fax:

1497126130 — MEGAN FRANZ CMHC
Practice Location Address:

3070 RASMUSSEN RD STE 175
PARK CITY, UT
84098-5519

Practice Phone: 435-962-9545
Practice Fax:

Directions to “INTO WHITE DENTAL ARTS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.