MANCERA DENTAL LLC
NPI 1003357468
Dentist in East Syracuse, NY

Q: What is Mancera Dental LLC's NPI number?

The NPI number for Mancera Dental LLC is 1003357468. It was assigned to this organization in the NPPES registry on March 17, 2017.

Q: What is Mancera Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 17, 2017

281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057(315) 454-6000(866) 803-4943 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mancera Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANCERA DENTAL LLC (NPI 1003357468) is a healthcare organization registered as a dentist in East Syracuse, New York and active in the NPI registry since March 2017. The organization lists Heather Kraushaar, Provider Relations Rep, as its authorized official.

NPPES Registry Identity

NPI1003357468

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMANCERA DENTAL LLC

Location Address281 SANDERS CREEK PKWYEast Syracuse, NY 13057-1307

Mailing Address640 W Karsch BlvdFarmington, MO 63640-3342 · (573) 705-3485 · Fax (573) 747-0058

Phone(315) 454-6000

Fax(866) 803-4943

Organization SubpartNo

Authorized OfficialHeather KraushaarProvider Relations Rep · (315) 454-6000

Enumeration DateMarch 17, 2017

✔ NPI 1003357468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2015041029

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

281 SANDERS CREEK PKWY, East Syracuse, NY 13057

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLEE HOLLERAN

Physician Assistant