Mancera Dental LLC
NPI 1003357468ActiveOrganization· Dentist· East Syracuse, NY
Dentist in East Syracuse, New York, registered in NPPES in March 2017. The authorized official on file is Heather Kraushaar, Provider Relations Rep.
Overview
| NPI | 1003357468 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2017 |
| Last updated in NPPES | Mar 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2015041029 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in East Syracuse
- 1568890531
- 1457628562
- 1730592163
- 1437690104
- 1396812756
- 1487763090