DR. ALBERT M MANGANARO (NPI# 1164492526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492526 |
| Entity Type | Individual |
| Full Name | DR. ALBERT M MANGANARO |
| Credential | D.D.S., M.S. |
| Practice Address |
Hqs Usa Dentac 2817 Reilly Rd Fort Bragg NC 28310-7302 |
| Practice Telephone | 9103965610 |
| Practice Fax Number | 9103967017 |
| Mailing Telephone | 9103965610 |
| Mailing Fax Number | 9103967017 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
36054-1 | NY | Dental Providers |
| Street Address |
HQS USA DENTAC 2817 REILLY RD |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871808246 | Fredwin R Holomon | Dentist | Hqs Usa Dentac, M4861 Logistics Ave, Fort Bragg, NC 28310-0001 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1669997144 | Wright and Associates Vii, Dds Pa | Dentist | 120 Ne Maynard Road Suite 100, Cary, NC 27513-8355 | 2017-08-07 |
| 1962819185 | Sasha Jane Betz | Dentist | 112 Solstice Cir, Cary, NC 27513-5209 | 2014-07-21 |
| 1891974937 | David Rittenhouse Kuhn Jr. | Dentist | 1902 N Sandhills Blvd Ste H, Aberdeen, NC 28315-2347 | 2007-10-25 |
| 1205930765 | Kenneth J. Benson, Dds | Dentist | 2081 Sheperds Vineyard Dr, Apex, NC 27502-6410 | 2006-09-12 |
| 1356364533 | James M Walter Jr. | Dentist | 3020 Maplewood Ave, Winston Salem, NC 27103-4012 | 2006-07-26 |
| 1316965411 | Alice Curran | Dentist | University of North Carolina School of Dentistry, Cb#7450, Chapel Hill, NC 27599-0001 | 2006-07-17 |
| 1114954211 | Valerie Ann Murrah | Dentist | Unc School of Dentistry, Cb# 7450, Chapel Hill, NC 27599-7450 | 2006-06-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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| 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.