Mann Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010046 Issued in GA

Legal business name

MANN DENTAL CARE

Practice address

902 S Slappey Blvd
Albany, GA 31701-2647

Phone

(229) 435-6627

Fax

(229) 435-6628

NPI assigned

Nov 17, 2008

Organization subpart

Yes

Parent organization

CLEVELAND MANN , DMDAs reported in NPPES

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

Authorized official

Name

Dr. Cleveland Mann, D.M.D.

Title

Owner

Phone

(229) 435-6627

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Mann Dental Care

Locations

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1104070218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012647",
            "telephone_number": "229-435-6627",
            "fax_number": "229-435-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012647",
            "telephone_number": "229-435-6627",
            "fax_number": "229-435-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND MANN , DMD",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-435-6627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285425B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002854254A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Lynn Mahnken, LCSW
• Ronald Malcolm, PA-C
• William Olin Mallow, MD
• Chauncey A Malone, CCC-SLP
• Ngina Omolade Mandouma, LMSW
• Mann Dental Care LLC
• Brian Patrick Mann, D.D.S
• Christopher J Mann, M.D.
• Cleveland Mann, D.M.D.
• Thomas W Mansfield, NP

• General Practice Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.