# GABRIEL T. MANCUSO, DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Philipsburg Dental Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518608629
- **Authorized official:** MICHELLE FETZER (OFFICE MANAGER)
- **Authorized official phone:** (814) 342-1090

## Contact information

- **Practice address:** 101 N FRONT ST, PHILIPSBURG, PA 16866-1603
- **Practice address phone:** (814) 342-1090
- **Practice address fax:** (814) 343-2597
- **Mailing address:** 101 N FRONT ST, PHILIPSBURG, PA 16866-1603
- **Mailing address phone:** (814) 342-1090
- **Mailing address fax:** (814) 343-2597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 06/09/2022