Cleveland Mann, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 010046 Issued in GA

Practice address

1403 S Slappey Blvd
Albany, GA 31701-2627

Phone

(229) 435-6627

Fax

(229) 435-6628

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mann Dental Care LLC

  • Dental Clinic/Center
  • Albany, GA
  • NPI 1871014803
  NPD Authorized official

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992765911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012647",
            "telephone_number": "229-435-6627",
            "fax_number": "229-435-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012627",
            "telephone_number": "229-435-6627",
            "fax_number": "229-435-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CLEVELAND",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN 010046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285425A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285425B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngina Omolade Mandouma, LMSW
• Mann Dental Care
• Mann Dental Care LLC
• Brian Patrick Mann, D.D.S
• Christopher J Mann, M.D.
• Thomas W Mansfield, NP
• Dallas Hunt Margeson
• Joseph Mariano, MD
• Marine Corps Logistics Base Albany, Ga
• Deborah A Marks-Jones, M.D.

• General Practice Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.