NPI 1295941524 · live from the CMS NPI Registry
Charles A Manilla D.D.S.,M,S.,INC
Dentist, Orthodontics and Dentofacial Orthopedics in Hamilton, OH. National Provider Identifier 1295941524, active.
NPI record
| NPI | 1295941524 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 347 Park Ave, Hamilton, OH 45013 |
| Practice phone | 513-737-6442 |
| Enumerated | May 15, 2007 |
| Last updated | November 7, 2019 |
| Authorized official | Cynthia Miller, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 15638 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.