Advanced Dental Care Services
NPI 1083788574ActiveOrganization· Dentist, General Practice· Mound, MN
Dentist, General Practice in Mound, Minnesota, registered in NPPES in November 2006. The authorized official on file is Mazen Manla, DDS, Dentist.
Overview
| NPI | 1083788574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D 11855 | MN |
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, General Practice providers in Mound
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