NPI 1033764527

Reeves Varghese Manikat, DMD

Practitioner General Practice Dentistry Princess Anne, MD

Practice location

Address: 12165 Elm St, Princess Anne, MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Mailing address: PO Box 1978, Salisbury, MD 21802-1978

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 17039 (MD)

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Registry record

NPI: 1033764527
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2019
Record last updated: 7 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.