SMILES FOR MILES
NPI 1225169683
Dentist - General Practice in Modesto, CA

Active since March 08, 2007
2020 COFFEE RD STE E, MODESTO, CA 95355(209) 571-9855(209) 571-9874 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, Jan 14, 2021 (2 updates tracked since 2021).

About Smiles For Miles NPPES

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

SMILES FOR MILES (NPI 1225169683) is a healthcare organization registered as a general practice in Modesto, California and active in the NPI registry since March 2007. The organization lists Lea Manosov, Owner, as its authorized official.

NPPES Registry Identity

NPI1225169683
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILES FOR MILES, DENTAL OFFICE OF DR MANOSOV P.C
Location Address2020 COFFEE RD STE EModesto, CA 95355-2427
Mailing Address2020 Coffee Rd Ste EModesto, CA 95355-2421 · (209) 571-9855 · Fax (209) 571-9874
Fax(209) 571-9874
Organization SubpartNo
Authorized OfficialLea ManosovOwner · (209) 571-9855
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1225169683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 48326
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2020 COFFEE RD STE E, Modesto, CA 95355

Other Names 1

Doing Business AsSmiles For Miles

Other Identifiers 1

OtherG92664-01CA · Denti-cal

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

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 Smiles For Miles, Dental Office Of Dr Manosov P.C's NPI number?

The NPI number for Smiles For Miles, Dental Office Of Dr Manosov P.C is 1225169683. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Smiles For Miles.

Where is Smiles For Miles, Dental Office Of Dr Manosov P.C located?

Smiles For Miles, Dental Office Of Dr Manosov P.C is located at 2020 Coffee Rd Ste E, Modesto, CA 95355. The listed phone number is (209) 571-9855.

What is Smiles For Miles, Dental Office Of Dr Manosov P.C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Smiles For Miles, Dental Office Of Dr Manosov P.C was last updated on January 22, 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.