Manhattan Family Dentistry and Orthodontics
Organization Active NPI Dentist · Manhattan, IL
NPI 1639619323 · NPPES record last updated Mar 2, 2017
Key facts
- NPI
- 1639619323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 019021119 (IL)
- Legal business name
- MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS
- Practice address
- 24600 S US Highway 52
2D
Manhattan, IL 60442-9007 - Phone
- (815) 478-9891
- NPI assigned
- Mar 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Christian Foltys, D.D.S.
- Title
- Dentist
- Phone
- (815) 478-9891
National Provider Directory
Locations
24600 S US Highway 52
#2D
Manhattan, IL 60442
Phone (815) 478-9891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 019021119 | IL | Yes |
Addresses
Primary practice location
24600 S US Highway 52
2D
Manhattan, IL 60442-9007
Mailing address
24600 S Route 52
2D
Manhattan, IL 60442
Other providers in Manhattan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.