DR. JESSE W. MANTON (NPI# 1326465824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326465824 |
Entity Type | Individual |
Full Name | DR. JESSE W. MANTON |
Credential | DDS, MS |
Practice Address |
155 5th St San Francisco CA 94103-2919 |
Practice Telephone | 4159296690 |
Practice Fax Number | 4157493305 |
Mailing Telephone | 4159296690 |
Mailing Fax Number | 4157493305 |
Enumeration Date | 2014-03-21 |
Last Update Date | 2020-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 30.025706 | OH | Dental Providers |
Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
CA64852 | CA | Dental Providers |
N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
30.025706 | OH | Dental Providers |
N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
30.25706 | OH | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
410 W 10th Ave, Columbus, OH 432101240 | 6142938487 | 6142938153 |
Street Address |
155 5TH ST |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94103-2919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356346753 | Constantine J Karsant | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2005-06-14 |
1326653775 | Eliz Danielle Santos | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2020-09-12 |
1831711746 | Mateel Musallam | Audiologist | 155 5th St, San Francisco, CA 94103-2919 | 2020-05-13 |
1598220790 | Sandra Anne Mclaren | Counselor | 155 5th St, San Francisco, CA 94103 | 2019-02-01 |
1427527845 | Jiong Hu | Audiologist | 155 5th St, San Francisco, CA 94103-2919 | 2018-11-14 |
1629579479 | Se Rin Lee | Dentist | 155 5th St, San Francisco, CA 94103 | 2018-02-27 |
1154871200 | Ronald Chung | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-10-12 |
1861940371 | Tex Christopher Mabalon IIi | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-09-13 |
1316301898 | William Tognotti | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-04-11 |
1033570551 | Warden Noble | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
Find all providers in zip 94103 |
Taxonomy Code | 1223D0004X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dentist Anesthesiologist |
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740770650 | Jana Sabo Dds Inc | Dentist | 1196 Valencia St Unit 106, San Francisco, CA 94110-3027 | 2018-05-16 |
1396185369 | George Jaber | Dentist | 4804 Mission St Ste 123, San Francisco, CA 94112-3469 | 2013-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
1124524236 | Kristin Chino | Dentist | 225 4th Ave Apt 204, Venice, CA 90291-8607 | 2018-04-05 |
1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
1245687706 | Wonil Edward Jung | Dentist | 14320 Ventura Blvd, Ste 223, Sherman Oaks, CA 91423-2717 | 2016-05-15 |
1861848152 | Phelon Rammell | Dentist | 24837 Tulip Ave, Loma Linda, CA 92354-3405 | 2016-05-05 |
1497115547 | Wolf and Bear Dental Care LLC | Dentist | 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 | 2016-03-02 |
1871964742 | Rachelle Kim | Dentist | 25246 Barton Rd Apt 8, Loma Linda, CA 92354-3055 | 2015-10-16 |
1346651262 | Stephen Cotter | Dentist | 3909 Sierra Linda Dr, Escondido, CA 92025-7653 | 2014-05-13 |
1669810347 | Unyong Kim | Dentist | 11943 Prospect Hill Dr, Gold River, CA 95670-7528 | 2013-06-04 |
Find all providers with the same taxonomy |
City | SAN FRANCISCO |
Zip Code | 94103 |
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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.