Dr. Theresa Manrique, DMD
Dentist in Wesley Chapel, FL. Individual provider (NPI-1).
NPI number1003361973
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1003361973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theresa Manrique
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2016
- Last updated
- Feb 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN22251 | FL | Yes |
Practice location
31806 Blythewood WayWesley Chapel, FL 33543-8153
Phone 813-325-1153
Mailing address
Ardennes RoadFort Bragg, NC 28310-0001
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 32 Dentist providers in Wesley Chapel · All 2,637 providers in Wesley Chapel
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