Active NPIIndividual provider

Dr. Mohamed S Mansour, DDS

Dentist, General Practice in Allentown, Pennsylvania

NPI Number1538418108
Practice location
123 N 13TH St, Allentown, PA 18102-3758
Fax
—
Last updated
January 11, 2020

Mohamed Shady Mansour is a Dentist, General Practice based in Allentown, PA. Mohamed Shady Mansour practices in Allentown, PA and has the professional credentials of DDS. The NPI Number for Mohamed Shady Mansour is 1538418108 and holds a License No. 22DI02509300 (NJ). The current practice location address for Mohamed Shady Mansour is 123 N 13TH St, Allentown, PA 18102-3758 and can be reached out via phone at 773-459-6783.

Provider Profile Details

NPI Number
1538418108
Provider Name
Mohamed Shady Mansour
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
123 N 13TH St, Allentown, PA 18102-3758
Phone Number
773-459-6783
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2012
Last Update Date
January 11, 2020
Certification Date
January 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 N 13TH St
Allentown, PA 18102-3758
Zip
18102-3758
Phone Number
773-459-6783
Allentown, PA 18102Get directions →

Provider Business Mailing Address Details

Address
505 Well Sweep RD
Whitehouse Station, NJ 08889-3250
City
Whitehouse Station
State
NJ
Zip
08889-3250
Phone Number
773-459-6783

License Information

License Number (1)
22DI02509300
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DS039173
License State (2)
PA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mohamed S Mansour, DDS?

The NPI number of Dr. Mohamed S Mansour, DDS is 1538418108. It was assigned on August 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Mohamed S Mansour, DDS?

Dr. Mohamed S Mansour, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02509300.

Where does Dr. Mohamed S Mansour, DDS practice?

The practice location is 123 N 13TH St, Allentown, PA 18102-3758. The office can be reached at 773-459-6783 (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 1538418108 directly on the NPPES registry website.

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