MARIYA MANOVA DMD, P.C.


Address: 2759 W 55th St, Chicago, IL 60632-2251
Phone: 5017731233

MARIYA MANOVA DMD, P.C. (NPI# 1669610028) 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) 1669610028
Entity Type Organization
Organization Name MARIYA MANOVA DMD, P.C.
Practice Address 2759 W 55th St
Chicago
IL 60632-2251
Mailing Address 215 W 59th St Apt 20
Hinsdale
IL 60521-4928
Practice Telephone 5017731233
Mailing Telephone 5017731233
Enumeration Date 2009-01-22
Last Update Date 2009-01-22
Authorized Official Name DR. MARIYA I MANOVA (PRESIDENT)
Authorized Official Telephone 5017731233
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019027529 IL Dental Providers

Office Location

Street Address 2759 W 55TH ST
City CHICAGO
State IL
Zip Code 60632-2251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487791422 1st Brite Dental Dentist 2759 W 55th St, Chicago, IL 60632 2007-01-31
1902438682 Lumy Dental Inc. Dentist 2759 W 55th St, Chicago, IL 60632-2251 2020-02-10
1205180775 Brite Dental 55, P.c Dentist 2759 W 55th St, Chicago, IL 60632-2251 2012-11-05

Providers in the same zip code

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1104474790 Amanda Rose Dirnberger Nurse Practitioner 3229-43 W. 47th Pl., Chicago, IL 60632 2019-08-28
1982121042 Brown Archer Dental PC Dentist 4893 S Archer Ave, Chicago, IL 60632 2017-08-29
1538577085 Metrosmiles - Archer Heights Dental Dentist 5141 S Cicero Ave, Chicago, IL 60632 2014-07-29
1174955173 Thresholds Community/Behavioral Health 718-24 West 47th St, Chicago, IL 60632 2013-08-01
1659612570 Sapex Home Healthcare, Inc. In Home Supportive Care 4107 West 47th Street, Chicago, IL 60632 2013-03-04
1912275462 Dawn Marie Mackessy Pharmacist 5435 S. Kedzie Ave, Chicago, IL 60632 2011-12-12
1033494752 Molly Elizabeth Mcdermott Pharmacist District 222-walgreens, Chicago, IL 60632 2011-10-13
1780908434 Chicago Electrical Trauma Research Institute Specialist/Technologist, Other 4047 W. 40th Street, Chicago, IL 60632 2010-03-24
1265765218 4365 Archer Mri, LLC Clinic/Center 4365 South Archer Avenue, Chicago, IL 60632 2009-09-09
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1679181895 Robert J Chacon Dentist 15 S Throop St Apt 206, Chicago, IL 60607-2522 2020-07-14
1629693304 Priyanka Sikka Dentist 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 2020-06-09
1164045456 Yong Chang Dds PC. Dentist 3531 N Western Ave Unit B, Chicago, IL 60618-6025 2020-05-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1831749944 Kenwood Dental Group Dentist 1335 E 87th St Ste A, Chicago, IL 60619-7036 2019-09-19
1508412875 Kamal Paresh Patel Dentist 1040 W Randolph St, Chicago, IL 60607-2215 2019-08-13
1003469636 Ahmed Mansour Dentist 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 2019-07-23
1568024925 John Michael Burnheimer II Dentist 11 S Green St Unit 1106, Chicago, IL 60607-1031 2019-07-05
1497317515 Prasanth Dommaraju Dentist 3924 S Archer Ave, Chicago, IL 60632-1116 2019-06-29
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Competitor

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City CHICAGO
Zip Code 60632

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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