Mantinaos, John

Mantinaos, John is an individual health care provider with primary practice located at 5203 Broadway St , Quincy IL 62305-9110. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mantinaos, John can be contacted via phone (217) 577-2400.

Contact Information

Primary practice address
5203 Broadway St Quincy IL 62305-9110
Phone: (217) 577-2400
Fax: (217) 228-1032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 048817-1 New York
Dental Providers / Dentist 122300000X 12011569A Indiana
Dental Providers / Dentist 122300000X 019028483 Illinois
Dental Providers / Dentist 122300000X 22DI02373800 New Jersey
Dental Providers / Dentist 122300000X DS036424 Pennsylvania
Dental Providers / Dentist 122300000X DN20160 Massachusetts

Profile Details

NPI number 1639328677
LBN Legal business name Mantinaos, John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Oct 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers