Deborah Manos DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14435 Issued in MI

Legal business name

DEBORAH MANOS DDS PLLC

Practice address

20176 Mack Ave
Grosse Pointe Woods, MI 48236-1822

Phone

(313) 884-4010

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Manos

Title

Owner

Phone

(313) 884-4010

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.

• Deborah Manos Bajis

  • General Practice Dentistry
  • Grosse Pointe Woods, MI
  • NPI 1306253620
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568566255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20176 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20176 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822",
            "telephone_number": "313-884-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH MANOS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANOS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-884-4010",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laila Michelle Davis
• Micah Kanae Davis
• Kariea Antanik Dean
• Tiffany Rochelle Dean
• Dearborn Physical Therapy LTD (Advanced Physical Therapy (Grosse Pt))
• Leann Elizabeth Decker
• Albert Defever, OD
• Kelly Ann-Trimmer Delind, PT
• Dementia Partners Plus, LLC
• Dennis C. Packey, DO PC

• General Practice Dentistry in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.