Organization
RAYMOND D.MANNIELLO,D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND MANNIELLO (PRESIDENT)
(413) 525-0861
Entity
Organization
Contact information
Practice address
264 N MAIN ST, SUITE 4, EAST LONGMEADOW, MA 01028-1815
(413) 525-0861
Mailing address
264 N MAIN ST, SUITE 4, EAST LONGMEADOW, MA 01028-1815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA18081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA18081
STATE LICENSE NUMBER
MA
Enumeration date
04/17/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us