Richard J. Mantoan, DDS

General Practice Dentistry · Flossmoor, IL

Individual Active NPI Reactivated March 20, 2006

NPI number 1740283605

Practice location

19815 Governors Hwy
Ste 7
Flossmoor, IL 60422-4388
Phone
(708) 799-7800
Fax
(708) 799-4864

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NPI record

NPI
1740283605
Entity type
Individual (Type 1)
Enumeration date
May 24, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19A15308 IL

About Dr. Mantoan

Richard J. Mantoan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19815 Governors Hwy, Ste 7, Flossmoor, IL 60422-4388. The NPI number 1740283605 was assigned on May 24, 2005 and the record was last updated on July 8, 2007.

Dr. Mantoan lists a license in the registry: #19A15308 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard J. Mantoan, DDS?

The NPI number is 1740283605.

What is the phone number of Dr. Mantoan?

The phone number listed for the practice location is (708) 799-7800.

Where is Dr. Mantoan located?

19815 Governors Hwy, Ste 7, Flossmoor, IL 60422-4388.

What is the taxonomy code for Dr. Mantoan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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