DR. LENMARA LEA MANOSOV (NPI# 1407961089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407961089 |
| Entity Type | Individual |
| Full Name | DR. LENMARA LEA MANOSOV |
| Credential | DDS |
| Practice Address |
2020 Coffee Rd Ste E Modesto CA 95385-2421 |
| Practice Telephone | 2095719855 |
| Practice Fax Number | 2095719874 |
| Mailing Telephone | 2095719855 |
| Mailing Fax Number | 2095719874 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 48326 | CA | Dental Providers |
| Street Address |
2020 COFFEE RD STE E |
| City | MODESTO |
| State | CA |
| Zip Code | 95385-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107438 | Kathleen S. Rawe | Pharmacy | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2005-10-10 |
| 1063772846 | Charles Wickersham | Pharmacist | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2012-05-25 |
| 1326326281 | Raymond Nepomuceno | Dentist | 2020 Coffee Rd, Suite B-4, Modesto, CA 95355-2427 | 2011-07-26 |
| 1275786733 | Kim Tran Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2008-10-28 |
| 1770772287 | Daniel T. Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2007-10-20 |
| 1023217999 | Lavedita Levette Parker | Dentist | 2020 Coffee Rd, Suite E, Modesto, CA 95355-2427 | 2007-07-12 |
| 1851502793 | Yvonne Marie Mcloughlin | Marriage & Family Therapist | 2020 Coffee Rd, Suite H-4, Modesto, CA 95355-2427 | 2007-05-24 |
| 1194943035 | Trinh Mai Ngoc Vo | Dentist | 2020 Coffee Rd, A-4, Modesto, CA 95355-2427 | 2007-04-24 |
| 1104049386 | Kristi Abigail Carson | Massage Therapist | 2020 Coffee Rd, Ste. D-3, Modesto, CA 95355-2427 | 2007-04-10 |
| 1164544698 | Jerold Rosenthal | Marriage & Family Therapist | 2020 Coffee Rd, H-6, Modesto, CA 95355-2427 | 2007-04-04 |
| Find all providers in the same location | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1306310933 | Western Dental Services, Inc. | Dentist | 2605 Coffee Rd Ste 200, Modesto, CA 95355-2064 | 2019-01-16 |
| 1205320223 | Western Dental Services, Inc. | Dentist | 2900 Standiford Ave Ste 2, Modesto, CA 95350-6575 | 2018-06-22 |
| 1215438130 | Lopez Dental Corporation | Dentist | 3601 Pelandale Ave Ste D-1, Modesto, CA 95356-9808 | 2018-02-26 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1013457118 | Kaur and Borrero Dds Dental Corp | Dentist | 1801 Tully Rd Ste A1, Modesto, CA 95350-2937 | 2017-03-08 |
| 1821461104 | Michael Lopez Dental Corporation | Dentist | 2103 Mchenry Avenue, Suite C, Modesto, CA 95350 | 2015-11-09 |
| 1760899884 | David Merrill Paxman | Dentist | 400 E Orangeburg Ave Ste 4, Modesto, CA 95350-5365 | 2014-07-21 |
| 1083021323 | Maninder Kaur Dhillon | Dentist | 1912 Standiford Ave Ste 1, Modesto, CA 95350-6507 | 2014-07-18 |
| 1043621618 | Nicholas Poblete | Dentist | 1316 Coffee Rd., Bldg. C, Modesto, CA 95355 | 2014-05-16 |
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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.