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Dr. Ian Thomas Manfredo, DMD
General Practice Dentistry in North Port, Florida
NPI 1235827791

Ian Thomas Manfredo is a General Practice Dentistry based in North Port, FL and is specialized in General Practice. Ian Thomas Manfredo practices in North Port, FL and has the professional credentials of DMD. The NPI Number for Ian Thomas Manfredo is 1235827791 and holds a License No. (Florida).

The current practice location address for Ian Thomas Manfredo is 5696 Tuscola Blvd, North Port, FL and can be reached out via phone at 941-257-0726.

Location: 5696 Tuscola Blvd, North Port, FL, 34287-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235827791
Provider Name
Ian Thomas Manfredo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5696 Tuscola Blvd, North Port, FL, 34287-2738
Phone Number
941-257-0726
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5696 Tuscola Blvd
City
North Port
State
Florida
Zip
34287-2738
Phone Number
941-257-0726
Fax Number
person
Provider Business Mailing Address Details
Address
5696 Tuscola Blvd
City
North Port
State
Florida
Zip
34287-2738
Phone Number
941-257-0726
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN28617 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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