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DR. KHAL LIAM MANCINI D.D.S
NPI 1104599612
Dentist in Rancho Cucamonga, CA

Active since July 29, 2021
9543 RETREAT PL, RANCHO CUCAMONGA, CA 91730(323) 649-4629 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Khal Liam Mancini D.d.s NPPES

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

DR. KHAL LIAM MANCINI D.D.S (NPI 1104599612) is an individual dentist in Rancho Cucamonga, California, licensed in California (106718) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1104599612
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KHAL LIAM MANCINICredential: D.D.S
Location Address9543 RETREAT PLRancho Cucamonga, CA 91730-9201
Mailing Address9543 Retreat PlRancho Cucamonga, CA 91730-9201 · (323) 649-4629
Phone(323) 649-4629
Sole ProprietorYes
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1104599612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 106718
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.
9543 RETREAT PL, Rancho Cucamonga, CA 91730
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khal Mancini's NPI number?

The NPI number for Khal Mancini is 1104599612. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Khal Mancini located?

Khal Mancini practices at 9543 Retreat Pl, Rancho Cucamonga, CA 91730. The listed phone number is (323) 649-4629.

What is Khal Mancini's specialty?

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

What insurance does Khal Mancini accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 1 other insurer list Khal Mancini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khal Mancini was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.