Organization
GREGORY R MANNING DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY R MANNING (OWNER - PROVIDER)
(480) 988-2373
Entity
Organization
Contact information
Practice address
4365 E PECOS RD STE 132, GILBERT, AZ 85295-8052
(480) 988-2373
(480) 988-2474
Mailing address
4365 E PECOS RD STE 132, GILBERT, AZ 85295-8052
(480) 988-2373
(480) 988-2474
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
7453
AZ
Other
Enumeration date
07/11/2012
Last updated
09/08/2025
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