Manila Dental Care PA

Primary specialty

DentistTaxonomy code 122300000X

License

DI20146 Issued in NJ

Legal business name

MANILA DENTAL CARE PA

Practice address

38 Belleville Ave
Bloomfield, NJ 07003

Phone

(973) 566-0445

Fax

(973) 566-9397

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Divina Garcia Santos, DDSNPI 1619378056

Title

President

Phone

(973) 566-0445

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.

• Divina Santos

  • General Practice Dentistry
  • Bloomfield, NJ
  • NPI 1619378056
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1639265176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BELLEVILLE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-566-0445",
            "fax_number": "973-566-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BELLEVILLE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-566-0445",
            "fax_number": "973-566-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILA DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-566-0445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryse Manasse, DMD
• Anthony Nicholas Mancino, D.C.
• Cynthia Mandarakas, C.O.T.A.
• Nicole Manfria, RPH, PHARMD
• Shefali Mangtani, DMD
• Megan Manzi, LAC
• Joseph Michael Marchesano, M.D.
• Trisha Marcoux, MASSAGE THERAPIST
• Mariel Buque PH.D. Psychology PLLC
• Mario Szuchman, M.D. Pediatrics LLC

• Dentist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.