Individual
DR. STEVEN A MANTEGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4765 HODGES BLVD STE 6, JACKSONVILLE, FL 32224-5279
(904) 821-8881
(904) 652-1666
Mailing address
1866 EPPING FOREST WAY S, JACKSONVILLE, FL 32217-2670
(904) 527-8979
(904) 652-1666
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14889
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
015430
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR.0075408
CO
Other
Enumeration date
05/28/2006
Last updated
06/04/2025
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