DR. IAN THOMAS MANFREDO DMD
NPI 1235827791
Dentist - General Practice in North Port, FL

Active since April 24, 2023
5696 TUSCOLA BLVD, NORTH PORT, FL 34287(941) 257-0726 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ian Thomas Manfredo Dmd NPPES

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

DR. IAN THOMAS MANFREDO DMD (NPI 1235827791) is an individual general practice provider in North Port, Florida, licensed in Florida (DN28617) and active in the NPI registry since April 2023. He maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1235827791
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IAN THOMAS MANFREDOCredential: DMD
Location Address5696 TUSCOLA BLVDNorth Port, FL 34287-2738
Mailing Address5696 Tuscola BlvdNorth Port, FL 34287-2738 · (941) 257-0726
Sole ProprietorYes
Enumeration DateApril 24, 2023
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1235827791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN28617
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.

5696 TUSCOLA BLVD, North Port, FL 34287

Secondary Practice Location 1

Location 11750 Tamiami Trl Ste 100Port Charlotte, FL 33948-1045 · Phone (941) 235-1001

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
5696 TUSCOLA BLVD
NORTH PORT, FL 34287
Dentist
5696 TUSCOLA BLVD
NORTH PORT, FL 34287

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 Ian Manfredo's NPI number?

The NPI number for Ian Manfredo is 1235827791. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Ian Manfredo located?

Ian Manfredo practices at 5696 Tuscola Blvd, North Port, FL 34287. The listed phone number is (941) 257-0726.

What is Ian Manfredo's specialty?

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

What insurance does Ian Manfredo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Ian Manfredo 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 Ian Manfredo was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.