DR. MOHAMED SHADY MANSOUR (NPI# 1538418108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538418108 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED SHADY MANSOUR |
| Credential | DDS |
| Practice Address |
123 N 13th St Allentown PA 18102-3758 |
| Mailing Address |
505 Well Sweep Rd Whitehouse Station NJ 08889-3250 |
| Practice Telephone | 7734596783 |
| Mailing Telephone | 7734596783 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
22DI02509300 | NJ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS039173 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245598770 | Mohamed M Mansour | Dentist | 2700 Mlk Jr Blvd, University of Detroit Mercy,school of Dentistry, Detroit, MI 48208-2576 | 2012-05-03 |
| 1205919644 | Mohamed S Mansour | Physical Therapist | 13500 Gambrel Ct, Laurel, MD 20708-1389 | 2006-10-21 |
| 1003848854 | Mohamed Mansour | Internal Medicine | 2912 210th Pl, Bayside, NY 11360-2433 | 2006-07-06 |
| 1003344540 | Mohamed Mansour | Physical Therapist | 5 Dakota Dr Ste 200, New Hyde Park, NY 11042-1109 | 2017-05-29 |
| 1710332606 | Mohamed Bosher Mansour | Internal Medicine | 2142 N Cove Blvd, Toledo, OH 43606 | 2016-04-27 |
| 1730564287 | Mohamed Mansour | Pediatrics | 680 Cohasset Rd, Chico, CA 95926 | 2015-07-27 |
| 1225276488 | Mohamed Mohsen Mansour | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2009-01-27 |
| 1790938868 | Mohamed Mansour | Family Medicine | 1230 S Linden Rd, Flint, MI 48532-3459 | 2008-11-03 |
| 1124247705 | Mohamed Abdel-aziz Mansour | Internal Medicine | 7905 Calumet Ave, Munster, IN 46321-1215 | 2007-04-24 |
| Street Address |
123 N 13TH ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578684528 | Family Dental Service P.C. | Dentist | 123 N 13th St, Allentown, PA 18102-3758 | 2007-04-03 |
| 1407466139 | Quality Dental Care of Nj | Dentist | 123 N 13th St, Allentown, PA 18102-3795 | 2020-08-06 |
| 1841720810 | Family Dental Services - Allentown | Dentist | 123 N 13th St, Allentown, PA 18102-3758 | 2017-06-13 |
| 1336400126 | Eamon Roark Fricker | Dentist | 123 N 13th St, Allentown, PA 18102-3758 | 2012-06-07 |
| 1427179498 | David N Bordonaro | Dentist | 123 N 13th St, Allentown, PA 18102-3758 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075008 | Kekul Bharucha | Dentist | 1247 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6358 | 2019-07-19 |
| 1316504400 | Elizabeth Ly | Dentist | 2015 Hamilton St Ste 202, Allentown, PA 18104-6471 | 2019-05-23 |
| 1033639125 | Zinal Patel | Dentist | 750 N Krocks Rd Ste 206, Allentown, PA 18106-9079 | 2017-06-21 |
| 1659817260 | Aarif Subzposh | Dentist | 450 Chew St # 201, Allentown, PA 18102-3434 | 2017-01-07 |
| 1427439959 | Oral Dynamics, Inc. | Dentist | 2610 Moravian Ave, Allentown, PA 18103-5521 | 2015-06-10 |
| 1619389178 | Sherry Deol | Dentist | 1856 Airport Rd, Allentown, PA 18109-9545 | 2014-06-02 |
| 1285066373 | Family Dentistry of Allentown, P.C. | Dentist | 3300 Lehigh St, Suite 716, Allentown, PA 18103-7041 | 2013-07-31 |
| 1730446238 | Fatimah Aslam | Dentist | 3221 W Washington St, Allentown, PA 18104-3415 | 2012-04-20 |
| 1487951109 | Ian Cantor Dds LLC | Dentist | 1303 W Hamilton St, Allentown, PA 18102-4314 | 2011-02-15 |
| 1407022445 | Edward Borshansky | Dentist | 1977 S 5th St, Allentown, PA 18103-4914 | 2008-04-30 |
| Find all providers in ALLENTOWN | ||||
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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.