DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUBHAN MANZOOR, DDS

Active Sole Proprietor

Dentist · JUSTICE, IL

Registration Details

NPI Number
1124709183
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2023 (2.768500993159 yrs)
Last Updated
Oct 31, 2023
Licenses
6001302-15 (WI)
019.034681 (IL)
Sole Proprietor
Yes

Practice Information

Address
8021 W 79TH ST
JUSTICE, IL, 604581607
Browse IL providers · Browse ZIP 60458
Phone
7086340843
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in JUSTICE, IL

Name Credential NPI
DR. ALBERT L BEITZ D.D.S. 1093073538
DR. RAMNEEK SINGH DMD 1649888736
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.