Dr. Tyra Manso, DDS
Dentist, Pediatric Dentistry in Montclair, New Jersey
1467618512- Practice location
- 31 Valley RD, 2ND Floor, Montclair, NJ 07042-2708
- Phone
- 973-771-5387
- Fax
- —
- Last updated
- June 2, 2016
Tyra Manso is a Dentist, Pediatric Dentistry based in Montclair, NJ. Tyra Manso practices in Montclair, NJ and has the professional credentials of DDS. The NPI Number for Tyra Manso is 1467618512 and holds a License No. 22DI023814 (NJ). The current practice location address for Tyra Manso is 31 Valley RD, 2ND Floor, Montclair, NJ 07042-2708 and can be reached out via phone at 973-771-5387.
Provider Profile Details
- NPI Number
- 1467618512
- Provider Name
- Tyra Manso
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Valley RD, 2ND Floor, Montclair, NJ 07042-2708
- Phone Number
- 973-771-5387
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 29, 2008
- Last Update Date
- June 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Valley RD
2ND Floor
Montclair, NJ 07042-2708 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2708
- Phone Number
- 973-771-5387
Provider Business Mailing Address Details
- Address
- 31 Valley RD
2ND Floor
Montclair, NJ 07042-2708 - City
- Montclair
- State
- NJ
- Zip
- 07042-2708
- Phone Number
- 973-771-5387
License Information
- License Number (1)
- 22DI023814
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- License Number (2)
- 0539911
- License State (2)
- NY
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Montclair, NJ
View all Dentist, Pediatric Dentistry providers in Montclair →- Dr. Natasha M Mathias, DMDDentist, Pediatric Dentistry · NPI 1265606339
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- Therese B Felcher, LCSWSocial Worker, Clinical · NPI 1265623284
- Kahn Health PCFamily Medicine · NPI 1548160989
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Frequently Asked Questions
What is the NPI number of Dr. Tyra Manso, DDS?
The NPI number of Dr. Tyra Manso, DDS is 1467618512. It was assigned on July 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Tyra Manso, DDS?
Dr. Tyra Manso, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI023814.
Where does Dr. Tyra Manso, DDS practice?
The practice location is 31 Valley RD, 2ND Floor, Montclair, NJ 07042-2708. The office can be reached at 973-771-5387 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467618512 directly on the NPPES registry website.