Individual
DR. KEVIN JOHN MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3840 HENDERSON DR, JACKSONVILLE, NC 28546
(910) 270-3334
(800) 705-1882
Mailing address
61 N HAMPSTEAD VLG, HAMPSTEAD, NC 28443
(910) 270-3334
(800) 705-1882
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990171
—
NC
01
—
90171
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
09/22/2006
Last updated
01/22/2026
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