Laurie Manthos, D.M.D., P.C.
Dentist, Oral and Maxillofacial Surgery in Worcester, MA. Organization (NPI-2).
NPI number1285750596
StatusActive
Last updated in NPPESJan 11, 2008
Details
- NPI
- 1285750596
- Entity type
- Organization (NPI-2)
- Legal business name
- Laurie Manthos, D.M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Mar 21, 2007
- Last updated
- Jan 11, 2008
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 |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 16823 | MA | Yes |
Practice location
200 Lincoln StSuite 1
Worcester, MA 01605-2528
Phone 508-752-2100
Mailing address
200 Lincoln StSuite 1
Worcester, MA 01605-2528
Phone 508-752-2100
Authorized official
Laurie Manthos
Owner
5087522100
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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 16 Oral and Maxillofacial Surgery (Dentist) providers in Worcester · All 14,792 providers in Worcester
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