DR. JEROME D MANCUSO (NPI# 1851515217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851515217 |
| Entity Type | Individual |
| Full Name | DR. JEROME D MANCUSO |
| Credential | DDS |
| Practice Address |
2820 Central Ave Suite A Billings MT 59102-8624 |
| Practice Telephone | 4062949600 |
| Practice Fax Number | 4062949604 |
| Mailing Telephone | 4062949600 |
| Mailing Fax Number | 4062949604 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2032 | MT | Dental Providers |
| Street Address |
2820 CENTRAL AVE SUITE A |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-8624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104808187 | Ben G. Hoffman | Physician Assistant | 2820 Central Ave, Billings, MT 59102-8624 | 2005-11-16 |
| 1003975269 | Christopher L Paris M D P C | Specialist | 2820 Central Ave, Unit B, Billings, MT 59102-8624 | 2006-12-06 |
| 1366531303 | Robert T Ruble | Anesthesiology | 2820 Central Ave, Suite A, Billings, MT 59102-8624 | 2006-10-11 |
| 1316969405 | Philip Seu | Surgery | 2820 Central Ave, A, Billings, MT 59102-8624 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528416963 | Lon Samuel Hinckley | Dentist | 152 S 32nd St W Ste B, Billings, MT 59102-6875 | 2016-05-26 |
| 1750678538 | Jesse Lane Gray | Dentist | 625 Herry Chapple St, Billings, MT 59106 | 2011-06-30 |
| 1073656567 | Summit Oral Surgery and Implant Center | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2007-02-14 |
| 1225357734 | Kyle Dale Tracy | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6875 | 2010-05-24 |
| 1861727646 | Roderick Morrison Griffeth | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2009-10-12 |
| 1083876478 | Brian Robert Ludwig | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2008-06-27 |
| 1235262874 | Nicholas O Gerard | Dentist | 2675 Central Ave, Ste L8, Billings, MT 59102-6686 | 2007-03-13 |
| 1295867265 | Gregory M Burns | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6875 | 2007-03-12 |
| 1558493239 | Donald L Roberts | Dentist | 2675 Central Ave, Ste L8, Billings, MT 59102-6686 | 2007-03-09 |
| 1336282458 | Andrew George Boyce | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2007-02-15 |
| Find all providers in BILLINGS | ||||
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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.