Search › Illinois › 1223P0221X
Andy Mancini, DMD, MBA
NPI 1487813473 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1407 N Veterans Pkwy
Bloomington, IL 61704 - Phone
- (309) 661-2999
- Organisation at this address
- Lakewood Family Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223G0001X
1223P0221X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois