DR. ATHINA MANTZOURANIS (NPI# 1518247089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518247089 |
| Entity Type | Individual |
| Full Name | DR. ATHINA MANTZOURANIS |
| Credential | D.M.D. |
| Practice Address |
50 Loomis St Bedford MA 01730-2208 |
| Mailing Address |
27 E Emerson St Melrose MA 02176-3520 |
| Practice Telephone | 7812757072 |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1855825 | MA | Dental Providers |
| Street Address |
50 LOOMIS ST |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700843943 | Magda Mikhil | Internal Medicine | 50 Loomis St, Bedford, MA 01730 | 2006-05-01 |
| 1124157086 | Bedford Dental Associates | Dentist | 50 Loomis St, Bedford, MA 01730-2208 | 2007-03-05 |
| 1740228212 | Richard Mark Hesby | Dentist | 50 Loomis St, Bedford, MA 01730-2208 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| 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 |
|---|---|---|---|---|
| 1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
| 1174022370 | Christopher A Emdin Dds Pllc | Dentist | 2200 Airport Fwy Ste 480, Bedford, TX 76022-6048 | 2018-02-03 |
| 1467907642 | Michael Chad Stapleton | Dentist | 2200 Airport Fwy, Suite 480, Bedford, TX 76022-6062 | 2016-08-17 |
| 1730569856 | Kyungsik Moon | Dentist | 22301 Rockside Rd, Bedford, OH 44146-1509 | 2015-06-03 |
| 1013324177 | Maria Patrick | Dentist | 3928 Silverwood Ln, Bedford, TX 76021-3041 | 2014-07-21 |
| 1487061784 | Phanidhar Venkata Reddy Sadda | Dentist | 200 Springs Road, Bldg #2, Dental Clinic, Bedford, MA 01730 | 2014-07-18 |
| 1659782977 | River Road Dental | Dentist | 173 S. River Rd, #5, Bedford, NH 03110 | 2014-05-09 |
| 1336414283 | Amir Kasouha | Dentist | 5210 Taylor Pond Ln, Bedford, MA 01730-4412 | 2012-03-11 |
| 1104103134 | Perla Dental of Bedford | Dentist | 2248 Central Dr, Bedford, TX 76021-5820 | 2011-11-04 |
| 1427334887 | Root Canal Clinic of North Texas | Dentist | 2201 Martin Dr Ste 200, Bedford, TX 76021-6081 | 2011-10-31 |
| Find all providers in BEDFORD | ||||
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| 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.