NICHOLAS A MANNARINO


Address: 5902 Raymond Rd, Madison, WI 53711-4100
Phone: 6082715212

NICHOLAS A MANNARINO (NPI# 1831215912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831215912
Entity Type Individual
Full Name NICHOLAS A MANNARINO
Credential D. D. S.
Practice Address 5902 Raymond Rd
Madison
WI 53711-4100
Practice Telephone 6082715212
Mailing Telephone 6082715212
Enumeration Date 2007-03-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 5000438 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI WISCONSIN DENTAL LICENSE 5000438 01

Office Location

Street Address 5902 RAYMOND RD
City MADISON
State WI
Zip Code 53711-4100

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1457810673 Leah Smith Specialist/Technologist 1436 Monroe Street, Madison, WI 53711 2019-03-18
1669942249 Patrick Soltvedt Bohn Physician Assistant 1034 Waban Hill, Madison, WI 53711 2018-11-27
1760975395 Alysha Rolli Dentist 2945 Triverton Pike Dr, Fitchburg, WI 53711 2018-06-08
1265922561 Farence Rogers Student in an Organized Health Care Education/Training Program 1475 Engineering Dr. Madison, Madison, WI 53711 2018-05-14
1588015358 Kristen Siskovich Speech-Language Pathologist 2927 Fish Hatchery Rd., Fitchburg, WI 53711 2016-06-23
1598132383 Shari Eberhardt Nurse Practitioner Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 2015-08-27
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548875305 Andre Oliveira-shahinfar Dentist 6038 Gemini Dr, Madison, WI 53718-3008 2020-09-09
1689286254 Rajdeepsinh Narendrasinh Dolia Dentist 12205 County Line Rd Ste A, Madison, AL 35758-7720 2020-08-17
1841815362 Payalben Baldev Patel Dentist 117 Fontanelle Blvd, Madison, MS 39110-6846 2020-06-10
1649824830 Applewhite Dental Wisconsin, P.C. Dentist 5610 Medical Cir Ste 10, Madison, WI 53719-1284 2019-07-26
1336792787 Mary Catherine Decker Dentist 8002 Watts Rd, Madison, WI 53719-3811 2019-07-24
1639739345 Matthew Douglas Smith Dentist 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 2019-06-14
1790277432 Allison Reimer Dentist 4602 E Washington Ave, Madison, WI 53704-3236 2018-05-30
1629599683 Melissa Ashlee Morrison Dentist 7617 Mineral Point Rd Ste 120, Madison, WI 53717-1623 2017-06-29
1336692417 Danielle Marie Meirick Dentist 434 Sidney St, Madison, WI 53703-1724 2016-07-26
1649648858 Terry A. Burgess Dentist 810 Palmer Plaza, # 103, Madison, AL 35758 2015-09-03
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Competitor

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City MADISON
Zip Code 53711

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Dataset Information

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.

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