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

DR. RICHARD J. MANTOAN, DDS

Deactivated

DR. RICHARD J. MANTOAN, DDS is a General Dentistry healthcare provider located in FLOSSMOOR, Illinois. NPI 1740283605 is deactivated in the NPPES registry. Verify at CMS.

General Dentistry · FLOSSMOOR, IL

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1740283605
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (0.81095890410959 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 16, 2006
License
19A15308 (IL)

Practice Information

Address
19815 GOVERNORS HWY
STE 7
FLOSSMOOR, IL, 604224388
Browse IL providers · Browse ZIP 60422
Phone
7087997800
Fax
7087994864
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FLOSSMOOR, IL

Name Credential NPI
DR. KEVIN LLOYD FATLAND D.M.D. 1245258318
DR. DANIEL J BROWN DDS 1588725915
DR. CHARLES J GREENEBAUM DDS 1740341973
DR. CARY N GOLDBERG DDS 1215098074
LAURA SASIC LALICH DDS 1285784637
DANIEL WILLIAM DALY DDS 1982829255
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.