Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYRA MANSO, DDS
Active Sole ProprietorDR. TYRA MANSO, DDS is a Pediatric Dentistry healthcare provider located in MONTCLAIR, New Jersey. NPI 1467618512 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1467618512
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2008 (18.014279287249 yrs)
- Last Updated
- Jun 2, 2016
- Licenses
-
22DI023814 (NJ)0539911 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 VALLEY RD2ND FLOORMONTCLAIR, NJ, 070422708Browse NJ providers · Browse ZIP 07042
- Phone
- 9737715387
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in MONTCLAIR, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM CLAVIS WARREN | D.D.S. | 1578677571 |
| DR. NATASHA M MATHIAS | DMD | 1265606339 |
| DR. REESHA PATEL SHAH | D.M.D | 1609154723 |
| VRINDA NANAVATI | — | 1427559491 |
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.