MARIE CLAIRE MANSOUR


Address: 709 S Central Ave, Suite B, Glendale, CA 91204-2010
Phone: 8185007030

MARIE CLAIRE MANSOUR (NPI# 1134227796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134227796
Entity Type Individual
Full Name MARIE CLAIRE MANSOUR
Credential DMD, MS
Practice Address 709 S Central Ave
Suite B
Glendale
CA 91204-2010
Mailing Address 615 Clinton Pl
Beverly Hills
CA 90210-1917
Practice Telephone 8185007030
Practice Fax Number 8185007040
Mailing Telephone 3104977881
Mailing Fax Number 3108588333
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
51283 CA Dental Providers

Office Location

Street Address 709 S CENTRAL AVE
SUITE B
City GLENDALE
State CA
Zip Code 91204-2010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497850002 Natalie Chantal Mansour Dentist 709 S Central Ave, Glendale, CA 91204-2010 2006-09-14
1154531432 Natalie Mansour Dmd Dental Corp Dentist 709 S Central Ave, Suite A, Glendale, CA 91204-2010 2007-05-23

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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071825 Jack Bayraymyan Dental Group Inc. Dentist 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 2020-10-20
1134691629 Hunter Orthodontics Pllc Dentist 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 2018-12-20
1578038121 Sun Orthodontics, LLC Dentist 4901 W Bell Rd Ste 120, Glendale, AZ 85308-3465 2018-10-10
1407200694 Tina Keun Nan Park Dentist 962 Calle Amable, Glendale, CA 91208-3062 2016-04-14
1609246792 Ninette Hacopian Dentist 1122 Linden Ave, Apt 2, Glendale, CA 91201-1550 2015-10-01
1588082754 Vina Zinn Saperstein Dentist 5750 W Thunderbird Rd Ste H800, Glendale, AZ 85306-4675 2014-04-03
1699019240 The Orthodontic Studio Dentist 3600 N Verdugo Rd Ste 200, Glendale, CA 91208-1258 2012-11-20
1356580963 Melissa Kim Lee Dentist 345 N Kenwood St Apt 206, Glendale, CA 91206-5406 2009-02-05
1992976484 Armne Kartalian Dentist 666 W Lexington Dr, Glendale, CA 91203-1662 2008-03-12
1447442546 Aurelia Bedard Dentist 18555 N 79th Ave Ste A102, Glendale, AZ 85308-8371 2007-08-13
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Competitor

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City GLENDALE
Zip Code 91204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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