Gabriel T. Mancuso, DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GABRIEL T. MANCUSO, DMD PLLC

Doing business as

Philipsburg Dental Partners

Practice address

101 N Front St
Philipsburg, PA 16866-1603

Phone

(814) 342-1090

Fax

(814) 343-2597

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Fetzer

Title

Office Manager

Phone

(814) 342-1090

Specialties & licenses 1

Addresses

Other names 1

• Philipsburg Dental Partners Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Gabriel Mancuso, DMD

  • Dentist
  • Philipsburg, PA
  • NPI 1467833137
  NPD
• Andrew Joseph Krantz Jr., DDS

  • Dentist
  • Phillipsburg, PA
  • NPI 1891897245
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1518608629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661603",
            "telephone_number": "814-342-1090",
            "fax_number": "814-343-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661603",
            "telephone_number": "814-342-1090",
            "fax_number": "814-343-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL T. MANCUSO, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "FETZER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-342-1090"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.philipsburgdental.com/",
            "affiliation": "N",
            "endpointDescription": "Office Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patients are able to reach out to the office using the webiste",
            "address_1": "101 N Front St",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168661603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Philipsburg Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philipsburg Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jiame Lynn Frazier, ATC
• Fresenius Medical Care Dubois, LLC (Fresenius Medical Care North Philipsburg)
• Anthony Joseph Froncillo, D.O.
• Jennifer Elizabeth Fustine
• William Craig Gabel, LPC
• Kaitlyn Gallagher
• Emily Gardner, M.S./CCC-SLP-L
• Karen L Gathagan, RPH
• Jolene Gavlak, D.D.S.
• Wendy Sue Gaylor-Davis, LPC

• General Practice Dentistry in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.