Dr. Steven A Mantegari, DDS, MD
Dentist, Oral and Maxillofacial Surgery in Jacksonville, FL. Individual provider (NPI-1).
NPI number1962459636
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1962459636
- Entity type
- Individual (NPI-1)
- Name
- Dr. Steven A Mantegari
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2006
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | dn14889 | FL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery | DR.0075408 | CO | |
| 204E00000X | Oral & Maxillofacial Surgery | 015430 | MO |
Practice location
4765 Hodges Blvd Ste 6Jacksonville, FL 32224-5279
Phone 904-821-8881 · Fax 904-652-1666
Mailing address
1866 Epping Forest Way SJacksonville, FL 32217-2670
Phone 904-527-8979 · Fax 904-652-1666
Other practice locations
2301 Holmes St
Kansas City, MO 64108-2640
Kansas City, MO 64108-2640
Phone 816-404-0500
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