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DR. LAURIE MANTHOS D.M.D.
NPI 1295941607
Dentist - Oral and Maxillofacial Surgery in Worcester, MA

Active since May 15, 2007Opted out of Medicare · through Apr 1, 2028
200 LINCOLN ST, SUITE 1, WORCESTER, MA 01605(508) 752-2100(508) 752-0304 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Laurie Manthos D.m.d. NPPES

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

DR. LAURIE MANTHOS D.M.D. (NPI 1295941607) is an individual oral and maxillofacial surgery provider in Worcester, Massachusetts, licensed in Massachusetts (16823) and active in the NPI registry since May 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1295941607
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LAURIE MANTHOSCredential: D.M.D.
Location Address200 LINCOLN ST, SUITE 1Worcester, MA 01605-2528
Mailing Address200 Lincoln St, Suite 1Worcester, MA 01605-2528 · (508) 752-2100 · Fax (508) 752-0304
Phone(508) 752-2100
Fax(508) 752-0304
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295941607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · 16823
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
200 LINCOLN ST, Worcester, MA 01605
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Other Identifiers 2

Medicare ID-Type UnspecifiedX06437MA
Medicare UPINU18525MA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Laurie Manthos D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

JOSEPH J. SAVITT, MD
Internal Medicine
200 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 755-1222
LAURIE MANTHOS, D.M.D., P.C.
Dentist (Oral and Maxillofacial Surgery)
200 LINCOLN ST, SUITE 1
WORCESTER, MA 01605
Worcester County (508) 752-2100
PAUL SEDGWICK MD
Internal Medicine
200 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 755-1222
YVONNNE AKUSIKA MARKHAM
Counselor
200 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 753-5425
LIANNE INC
Family Medicine
200 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 755-1222
RICHARD A HAAS, MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 755-1222
MRS. JANICE C HITZHUSEN M.D.
Internal Medicine
200 LINCOLN ST, SUITE 4
WORCESTER, MA 01605
Worcester County (508) 756-0111
DR. PRABHASADANAM G SADHUJAN
Internal Medicine
200 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 755-1222

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 Laurie Manthos's NPI number?

The NPI number for Laurie Manthos is 1295941607. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Laurie Manthos located?

Laurie Manthos practices at 200 Lincoln St Suite 1, Worcester, MA 01605. The listed phone number is (508) 752-2100.

What is Laurie Manthos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Laurie Manthos enrolled in Medicare?

No. Laurie Manthos has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Laurie Manthos accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Laurie Manthos 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 Laurie Manthos was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.