Dr. Laurie Manthos, D.M.D.
Dentist, Oral and Maxillofacial Surgery in Worcester, MA. Individual provider (NPI-1).
Details
- NPI
- 1295941607
- Entity type
- Individual (NPI-1)
- Name
- Dr. Laurie Manthos
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Apr 1, 2022 to Apr 1, 2028
- 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 · Fax 508-752-0304
Mailing address
200 Lincoln StSuite 1
Worcester, MA 01605-2528
Phone 508-752-2100 · Fax 508-752-0304
Is something wrong?
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.
Other Oral and Maxillofacial Surgery (Dentist) providers in Worcester, MA
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- Christopher Kevin Clancy, D.M.DNPI 1659442325
- Crompton Park Oral Surgery And Implant Associates, LLCNPI 1033434659
- Crompton Park Oral Surgery And Implant Associates, LLPNPI 1093998387
- Jasjit Singh Gill, D.M.DNPI 1225109903
- Earle Robert Halsband, DMDNPI 1619043080
- W David Kelly, DMDNPI 1326041385
- Laurie Manthos, D.M.D., P.C.NPI 1285750596
- Marlborough Dental Specialties, PCNPI 1356933188
- Oral Surgery Partners PCNPI 1982149514
All 16 Oral and Maxillofacial Surgery (Dentist) providers in Worcester · All 14,792 providers in Worcester
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