Individual
DR. JOHN E. MANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 MAIN ST, TUPPER LAKE, NY 12986
(518) 359-7353
Mailing address
3 MAIN ST, TUPPER LAKE, NY 12986-1308
(518) 359-7353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430313
—
NY
Enumeration date
07/31/2006
Last updated
06/14/2018
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