FEREIDON WOLFGANG MANSSURI (NPI# 1447475140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447475140 |
Entity Type | Individual |
Full Name | FEREIDON WOLFGANG MANSSURI |
Other Name | WOLFGANG MANSSURI |
Credential | D.D.S. |
Practice Address |
134 Coursevall Drive Centreville MD 21617 |
Practice Telephone | 4107581424 |
Practice Fax Number | 4107584380 |
Mailing Telephone | 4107581424 |
Mailing Fax Number | 4107584380 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 12053 | MD | Dental Providers |
Street Address |
134 COURSEVALL DRIVE |
City | CENTREVILLE |
State | MD |
Zip Code | 21617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
1053706382 | Gurpreet Saini | Internal Medicine | 2540 Centreville Rd, Centreville, MD 21617 | 2015-04-02 |
Find all providers in zip 21617 |
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 |
---|---|---|---|---|
1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
1275808438 | Smart Dental Holdings, LLC | Dentist | 223 Pierson Ave, Centreville, AL 35042-2919 | 2012-03-20 |
1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
1740577717 | Jose I Aunon | Dentist | 6134 Redwood Square Ctr, Suite 202, Centreville, VA 20121-2642 | 2011-06-29 |
1841524568 | Jaewon Yoon | Dentist | 14631 Lee Hwy Ste 116, Centreville, VA 20121-5825 | 2009-09-28 |
1891926697 | Vladyslav Ovcharenko | Dentist | 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460 | 2009-07-28 |
1811154529 | Luong-hung N Le | Dentist | 14637 Lee Hwy Ste 104, Centreville, VA 20121-5830 | 2008-05-20 |
1346433448 | Diego A Morales | Dentist | 5701 Centre Square Dr, Centreville, VA 20120-1916 | 2007-08-22 |
1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
1295802932 | Jim J Soltani | Dentist | 6019 Centreville Crest Ln, Centreville, VA 20121 | 2006-11-29 |
Find all providers in CENTREVILLE |
City | CENTREVILLE |
Zip Code | 21617 |
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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.