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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALDRENE ILANO MANASAN DMD
NPI 1295213254
Dentist - Endodontics in Fort Eisenhower, GA

Active since August 01, 2018
228 E HOSPITAL RD BLDG 320, FORT EISENHOWER, GA 30905(706) 787-5102 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, Aug 5, 2026, Jul 1, 2024 and 2 more (5 updates tracked since 2018).

About Aldrene Ilano Manasan Dmd NPPES

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

ALDRENE ILANO MANASAN DMD (NPI 1295213254) is an individual endodontics provider in Fort Eisenhower, Georgia, licensed in Tennessee (13101) and active in the NPI registry since August 2018. He maintains a secondary practice location in Clarksville.

NPPES Registry Identity

NPI1295213254
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameALDRENE ILANO MANASANCredential: DMD
Location Address228 E HOSPITAL RD BLDG 320Fort Eisenhower, GA 30905-6011
Mailing Address2110 Sylvan Lake DrGrovetown, GA 30813-5852 · (706) 787-5102
Phone(706) 787-5102
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateAugust 10, 20265 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1295213254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in TN · 13101
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License DDS102593 (CA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DDS102593 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DDS102593 (CA)
228 E HOSPITAL RD BLDG 320, Fort Eisenhower, GA 30905
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Secondary Practice Location 1

Location 11466 Tiny Town Rd Ste AClarksville, TN 37042-8292 · Phone (931) 548-0119

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.

DR. ADAM RANDAL LINCICUM DMD
Dentist (Periodontics)
228 E HOSPITAL RD BLDG 320
FORT GORDON, GA 30905
Richmond County (706) 787-6927
DR. ASHLEY R KILLINGS D.M.D
Dentist
228 E HOSPITAL RD BLDG 320
FORT EISENHOWER, GA 30905
Richmond County (706) 787-1907

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 Aldrene Manasan's NPI number?

The NPI number for Aldrene Manasan is 1295213254. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Aldrene Manasan located?

Aldrene Manasan practices at 228 E Hospital Rd Bldg 320, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-5102.

What is Aldrene Manasan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Aldrene Manasan was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.