Manna Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22412 Issued in TX

Legal business name

MANNA DENTAL PLLC

Practice address

25250 Northwest Fwy
Suite 250
Cypress, TX 77429

Phone

(281) 304-9991

Fax

(281) 304-9993

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thanh Vu, DMD

Title

Owner

Phone

(954) 608-8746

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aimee Truong, D.M.D.

  • General Practice Dentistry
  • Cypress, TX
  • NPI 1710046149
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1255581468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25250 NORTHWEST FREEWAY",
            "address_2": "SUITE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-304-9991",
            "fax_number": "281-304-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25250 NORTHWEST FWY",
            "address_2": "SUITE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-304-9991",
            "fax_number": "281-304-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-608-8746",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Rodolfo Mandujano, LPC-A
• Yackeline Mandujano
• Mann Transportation & Services LLC
• Amy Mann, RN, FNP
• Lucas Mann
• Jamie Manning, LPC
• Fatima Marcelo
• Cassie Marchand
• Sharon Marcotte, RN, MSN, PNP
• Marcus Equity Holdings, LLC (Bear Academy of Cypress)

• Dentist in Cypress, TX
• Providers in Cypress, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.