Bianca Maniscalco
General Practice Dentistry · Waukegan, IL
Practice location
2821 Grand AveWaukegan, IL 60085-2372
- Phone
- (847) 662-4400
NPI record
- NPI
- 1740980077
- Entity type
- Individual (Type 1)
- Enumeration date
- March 6, 2023
- Last updated
- August 28, 2024
- Certified
- August 28, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019.035496 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
| Student in an Organized Health Care Education/Training Program | 390200000X |
390200000X | MA |
Mailing address
761 Harrison Ave Apt 407Boston, MA 02118-3478
- Phone
- (630) 450-6391
Other practice locations (1)
- 761 Harrison Ave Apt 407, Boston, MA 02118-3478 · (630) 450-6391
About Bianca Maniscalco
Bianca Maniscalco is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2821 Grand Ave, Waukegan, IL 60085-2372. The NPI number 1740980077 was assigned on March 6, 2023 and the record was last updated on August 28, 2024.
Bianca Maniscalco lists 2 licenses in the registry: #019.035496 (IL) for General Practice Dentistry; #390200000X (MA) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bianca Maniscalco?
The NPI number is 1740980077.
What is the phone number of Bianca Maniscalco?
The phone number listed for the practice location is (847) 662-4400.
Where is Bianca Maniscalco located?
2821 Grand Ave, Waukegan, IL 60085-2372.
What is the taxonomy code for Bianca Maniscalco?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.
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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