DR. CYNTHIA ANN MANDERS (NPI# 1447383641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447383641 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA ANN MANDERS |
| Credential | D.D.S. |
| Practice Address |
115 N Dixie Dr Suite 310 Lake Jackson TX 77566-5903 |
| Practice Telephone | 9792972308 |
| Practice Fax Number | 9792973737 |
| Mailing Telephone | 9792972308 |
| Mailing Fax Number | 9792973737 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
15346 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LIFE RE | 76-0337233 | 01 |
| TX | UNICARE | 76-0337233 | 01 |
| TX | BCBS OF TEXAS | D-15346 | 01 |
| TX | 1208175-01 | 05 | |
| TX | TRICARE DENTAL PROGRAM | 736506 | 01 |
| TX | CIGNA | 76-0337233 | 01 |
| TX | UNITEDHEALTH CARE | 76-0337233 | 01 |
| TX | DELTA DENTAL | 76-0337233 | 01 |
| TX | DENTA-CARE | 76-0337233 | 01 |
| TX | AETNA DENTAL | 76-0337233 | 01 |
| TX | METLIFE | 76-0337233 | 01 |
| TX | FISERV BENEFIT PLANNERS | 76-0337233 | 01 |
| Street Address |
115 N DIXIE DR SUITE 310 |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619947538 | Beverly Behrman Bernzen | Social Worker | 115 N Dixie Dr, #250, Lake Jackson, TX 77566-5906 | 2006-01-24 |
| 1013298850 | Texas South-personal Homecare Services, Inc. | In Home Supportive Care | 115 N Dixie Dr, Ste110, Lake Jackson, TX 77566-5903 | 2011-09-07 |
| 1972831667 | Dennis Mcguire, Ph.d., P.c | Psychologist | 115 N Dixie Dr, Suite 250, Lake Jackson, TX 77566-5903 | 2009-11-18 |
| 1255599049 | Sandra Ann Clevenger | Counselor | 115 N Dixie Dr, Suite 250, Lake Jackson, TX 77566-5903 | 2008-05-28 |
| 1568510980 | Dennis Mcguire | Psychologist | 115 N Dixie Dr, Suite 250, Lake Jackson, TX 77566-5903 | 2007-01-08 |
| 1154431427 | Kim Freeman | Dentist | 115 N Dixie Dr, Ste 200, Lake Jackson, TX 77566 | 2006-08-30 |
| 1477669158 | James S. Henson Jr. | Dentist | 115 N Dixie Dr, Suite 430, Lake Jackson, TX 77566-5903 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740374636 | Ginger Battle Stagg | Dentist | 103 Abner Jackson Pkwy, Lake Jackson, TX 77566-5163 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.