DR. KEITH W MANN (NPI# 1184755092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184755092 |
| Entity Type | Individual |
| Full Name | DR. KEITH W MANN |
| Credential | DDS |
| Practice Address |
818-101 Pine Grove Drive Wilmington NC 28409 |
| Practice Telephone | 9103979277 |
| Practice Fax Number | 9103979137 |
| Mailing Telephone | 9103979277 |
| Mailing Fax Number | 9103979137 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6156 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED CONCORDIA | 523057 | 01 |
| NC | BLUE CROSS BLUE SHIELD | 95504 | 01 |
| NC | 8995504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982027488 | Keith Loren Mann | Contractor | 150 Ridgeway Farm Dr, Keswick, VA 22947 | 2014-02-04 |
| 1174533574 | Keith Justin Mann | Pediatrics | 2401 Gillham Rd, Office of Gme, Kansas City, MO 64108-4619 | 2006-08-08 |
| Street Address |
818-101 PINE GROVE DRIVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| 1497180855 | Audrey E Worthington | Counselor | 1808 Bungalow Row, Wilmington, NC 28409-1405 | 2013-09-04 |
| Find all providers in zip 28409 | ||||
| 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 |
|---|---|---|---|---|
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| 1851930986 | L.brett Wells Dds IIi Pllc | Dentist | 124 Walnut St Ste 101, Wilmington, NC 28401-4361 | 2020-01-07 |
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1497312649 | Christian G Cook | Dentist | 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 | 2019-05-23 |
| 1417424649 | Lindell Plaza Dental LLC | Dentist | 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 | 2018-10-25 |
| 1699128868 | Lauren Elizabeth Marechal | Dentist | 5000 Market St, Wilmington, NC 28405-3430 | 2016-07-22 |
| 1982051546 | Safia Naik-azizi Dmd & Associates Pa | Dentist | 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 | 2016-05-24 |
| 1508213323 | Daniel Joseph Duffy Jr. | Dentist | 2520 Delaney Ave, Wilmington, NC 28403-6002 | 2016-05-22 |
| 1326468513 | Edward Blake Bayley | Dentist | 1610 Sunset Ln, Wilmington, DE 19810-4149 | 2014-04-26 |
| 1255751616 | Eric and Casey Burns Dds Pa | Dentist | 4914 Randall Pkwy, Wilmington, NC 28403-2879 | 2014-04-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
Please comment or provide details below to improve the information on DR. KEITH W MANN.
| 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.