Andrew J. Mantel, PC,

Organization Active NPI General Practice Dentistry · Howard Beach, NY

NPI 1508196890 · NPPES record last updated Jan 8, 2010

Key facts

NPI
1508196890
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ANDREW J. MANTEL, PC,
Practice address
150 09 89TH Street
Howard Beach, NY 11414
Phone
(718) 641-1333
Fax
(718) 641-9156
NPI assigned
Jan 8, 2010
Organization subpart
No

Authorized official

Name
Dr. Andre J. Mantel, DMD
Title
Dentist
Phone
(718) 641-1333

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes
Periodontics
Group: 193200000X MULTI-SPECIALTY GROUP
1223P0300X
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X
Dental Hygienist
Group: 193200000X MULTI-SPECIALTY GROUP
124Q00000X

Addresses

Primary practice location

150 09 89TH Street
Howard Beach, NY 11414

Mailing address

150 09 89TH Street
Howard Beach, NY 11414
Phone (718) 641-1333

Other identifiers

IdentifierTypeStateIssuer
01612582MedicaidNY

Other providers in Howard Beach, NY

All providers in Howard Beach, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.