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DR. GARY W. MANCEWICZ DDS
NPI 1346508124
Dentist - General Practice in Kentwood, MI

Active since April 30, 2012
2351 COUNTRYWOOD DR SE, KENTWOOD, MI 49508(616) 455-3020(616) 455-1397 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary W. Mancewicz Dds NPPES

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

DR. GARY W. MANCEWICZ DDS (NPI 1346508124) is a healthcare organization registered as a general practice in Kentwood, Michigan and active in the NPI registry since April 2012. The organization lists Gary W Mancewicz, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1346508124
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. GARY W. MANCEWICZ DDS
Location Address2351 COUNTRYWOOD DR SEKentwood, MI 49508-5295
Mailing Address2351 Countrywood Dr SeKentwood, MI 49508-5295 · (616) 455-3020 · Fax (616) 455-1397
Phone(616) 455-3020
Fax(616) 455-1397
Organization SubpartNo
Authorized OfficialGary W MancewiczOwner/dentist · (616) 455-3020
Enumeration DateApril 30, 2012
✔ NPI 1346508124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901011327
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.
2351 COUNTRYWOOD DR SE, Kentwood, MI 49508
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Other Identifiers 1

Medicaid4828774MI

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

Other Providers at the Same Location NPPES 6

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

DR. HEATHER ANNE MALLORY-MAY D.D.S.
Dentist (General Practice)
2351 COUNTRYWOOD DR SE, SUITE A
KENTWOOD, MI 49508
Kent County (616) 455-0720
MR. STEPHEN MICHAEL MANCEWICZ DDS
Dentist (General Practice)
2351 COUNTRYWOOD DR SE, SUITE B
KENTWOOD, MI 49508
Kent County (616) 455-3020
EAST PARIS DENTAL PROFESSIONALS, PLC
Dentist (General Practice)
2351 COUNTRYWOOD DR SE
KENTWOOD, MI 49508
Kent County (616) 455-3020
DR. GARY W. MANCEWICZ D.D.S.
Dentist
2351 COUNTRYWOOD DR SE, SUITE B
GRAND RAPIDS, MI 49508
Kent County (616) 455-3020
DR. DAVID EDWARD MAY D.D.S
Dentist (General Practice)
2351 COUNTRYWOOD DR SE, SUITE A
KENTWOOD, MI 49508
Kent County (616) 455-0720
MR. DANIEL DEAN WHITE DDS
Dentist (General Practice)
2351 COUNTRYWOOD DR SE, SUITE B
KENTWOOD, MI 49508
Kent County (616) 455-3020

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 Dr. Gary W. Mancewicz Dds's NPI number?

The NPI number for Dr. Gary W. Mancewicz Dds is 1346508124. It was assigned to this organization in the NPPES registry on April 30, 2012.

Where is Dr. Gary W. Mancewicz Dds located?

Dr. Gary W. Mancewicz Dds is located at 2351 Countrywood Dr SE, Kentwood, MI 49508. The listed phone number is (616) 455-3020.

What is Dr. Gary W. Mancewicz Dds'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 Dr. Gary W. Mancewicz Dds was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.