DR. JESSE W. MANTON


Address: 155 5th St, San Francisco, CA 94103-2919
Phone: 4159296690

DR. JESSE W. MANTON (NPI# 1326465824) 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) 1326465824
Entity Type Individual
Full Name DR. JESSE W. MANTON
Credential DDS, MS
Practice Address 155 5th St
San Francisco
CA 94103-2919
Practice Telephone 4159296690
Practice Fax Number 4157493305
Mailing Telephone 4159296690
Mailing Fax Number 4157493305
Enumeration Date 2014-03-21
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 30.025706 OH Dental Providers
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
CA64852 CA Dental Providers
N 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
30.025706 OH Dental Providers
N 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
30.25706 OH Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
410 W 10th Ave, Columbus, OH 432101240 6142938487 6142938153

Office Location

Street Address 155 5TH ST
City SAN FRANCISCO
State CA
Zip Code 94103-2919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356346753 Constantine J Karsant Dentist 155 5th St, San Francisco, CA 94103-2919 2005-06-14
1326653775 Eliz Danielle Santos Dentist 155 5th St, San Francisco, CA 94103-2919 2020-09-12
1831711746 Mateel Musallam Audiologist 155 5th St, San Francisco, CA 94103-2919 2020-05-13
1598220790 Sandra Anne Mclaren Counselor 155 5th St, San Francisco, CA 94103 2019-02-01
1427527845 Jiong Hu Audiologist 155 5th St, San Francisco, CA 94103-2919 2018-11-14
1629579479 Se Rin Lee Dentist 155 5th St, San Francisco, CA 94103 2018-02-27
1154871200 Ronald Chung Dentist 155 5th St, San Francisco, CA 94103-2919 2016-10-12
1861940371 Tex Christopher Mabalon IIi Dentist 155 5th St, San Francisco, CA 94103-2919 2016-09-13
1316301898 William Tognotti Dentist 155 5th St, San Francisco, CA 94103-2919 2016-04-11
1033570551 Warden Noble Dentist 155 5th St, San Francisco, CA 94103-2919 2016-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669015665 Cheng Chi Chang Student in an Organized Health Care Education/Training Program 987 Mission Street, San Francisco, CA 94103 2019-10-22
1366925604 Sharon Farrell Specialist Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 2018-09-12
1548748759 Muvr Labs, Inc Clinic/Center 724 Bannan Street, San Francisco, CA 94103 2018-07-31
1245727585 Marco Alejandro Regalado Chacon Counselor 1035 Market St Ste 100, San Francisco, CA 94103 2018-04-20
1679091854 Maia Elizabeth Anello Counselor 42 Mclea Ct., San Francisco, CA 94103 2017-09-07
1710405584 Wendy Siuping Leung Specialist 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 2017-08-31
1740707397 Leslie My Ngoc Lam Specialist 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 2017-08-24
1598281990 Raymundo Macias Counselor 1563 Mission Street, San Francisco, CA 94103 2017-08-17
1720502461 Kathie Isabel Cordova Specialist 1380 Howard Streeet, San Francisco, CA 94103 2017-08-02
1154850428 Elizabeth Osterwald Counselor 150 9th Street, San Francisco, CA 94103 2017-06-08
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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740770650 Jana Sabo Dds Inc Dentist 1196 Valencia St Unit 106, San Francisco, CA 94110-3027 2018-05-16
1396185369 George Jaber Dentist 4804 Mission St Ste 123, San Francisco, CA 94112-3469 2013-07-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710548375 San Diego Dental Anesthesia Dentist 1287 Carlsbad Village Drive, Carlsbad, CA 92008 2019-06-25
1124524236 Kristin Chino Dentist 225 4th Ave Apt 204, Venice, CA 90291-8607 2018-04-05
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1245680271 Ryan Cheung Dentist 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 2016-06-21
1245687706 Wonil Edward Jung Dentist 14320 Ventura Blvd, Ste 223, Sherman Oaks, CA 91423-2717 2016-05-15
1861848152 Phelon Rammell Dentist 24837 Tulip Ave, Loma Linda, CA 92354-3405 2016-05-05
1497115547 Wolf and Bear Dental Care LLC Dentist 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 2016-03-02
1871964742 Rachelle Kim Dentist 25246 Barton Rd Apt 8, Loma Linda, CA 92354-3055 2015-10-16
1346651262 Stephen Cotter Dentist 3909 Sierra Linda Dr, Escondido, CA 92025-7653 2014-05-13
1669810347 Unyong Kim Dentist 11943 Prospect Hill Dr, Gold River, CA 95670-7528 2013-06-04
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Competitor

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City SAN FRANCISCO
Zip Code 94103

Improve Information

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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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