Mancuso Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANCUSO DENTAL LLC

Practice address

7337 Farnam St
Omaha, NE 68114-4627

Phone

(402) 397-7799

Fax

(402) 939-0330

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin James Mancuso, DDSNPI 1952741712

Title

Manager/Dentist

Phone

(402) 397-7799

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin James Mancuso, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1952741712
  NPD Authorized official
• Sarah Therese Billesbach, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1639306913
  NPD
• Morgan Elizabeth Wittmeier Brower

  • Dentist
  • Omaha, NE
  • NPI 1548963168
  NPD
• Gerald John Mancuso, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1972571016
  NPD (past)

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1356819122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144627",
            "telephone_number": "402-397-7799",
            "fax_number": "402-939-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144627",
            "telephone_number": "402-397-7799",
            "fax_number": "402-939-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCUSO DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER/DENTIST",
        "authorized_official_telephone_number": "402-397-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Lynne Manchester, LIMHP, LADC
• Michel Aracely Mancia Alvarenga
• Carey Lynn Mancilla
• Denisse Mancilla
• Rogelio Mancilla
• Becky Lynn Mancuso-Oldehoeft, MPT.
• Benjamin James Mancuso, D.D.S.
• Gerald John Mancuso, D.D.S.
• Kerry Catherine Mancuso, APRN
• Martin M Mancuso, MD

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.