Paul Mannia, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020311 Issued in MI

Practice address

103 South Elm St.
Three Oaks, MI 49128

Phone

(269) 756-5431

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Debra Z Mannia P.L.L.C.

  dba Three Oaks Dentistry

  • Dental Clinic/Center
  • Three Oaks, MI
  • NPI 1760091805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1093025942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SOUTH ELM ST.",
            "city": "THREE OAKS",
            "state": "MI",
            "postal_code": "49128",
            "telephone_number": "269-756-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTH ELM ST.",
            "city": "THREE OAKS",
            "state": "MI",
            "postal_code": "49128",
            "telephone_number": "269-756-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011544A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Drugs Inc (Three Oaks Pharmacy)
• Debra Z Mannia P.L.L.C. (Three Oaks Dentistry)
• Humble Haven Homestead
• Lifecraft LLC
• Debra Zakrzewski Mannia, DDS
• Tiffany Peters, LMSW
• Kristy Jo Putnam
• Kamaliah Scally, RBT
• Three Oaks Emergency Vehicle Association
• Three Shores Health Care

• General Practice Dentistry in Three Oaks, MI
• Providers in Three Oaks, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.