Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407961089 Individual Practitioner Female Practitioner

Dr. Lea Manosov , DDS

Dentist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lea Manosov, DDS is a registered healthcare professional specializing in Dentist in Modesto, CA. Practice services are available at 2020 COFFEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 Coffee Rd
Ste E

Modesto, CA 953852421

Telephone 2095719855
Fax 2095719874
Associated Practice Facility / Clinic
🏢 B & B Pharmacy Services Llc Facility NPI 1033107438

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
110 Specialists

Practicing in Modesto, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 48326

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1023217999

Doctor of Dental Surgery

Dr. Criselda Hodgens , DMD

Dentist - General Practice

NPI 1356409668

Doctor of Dental Medicine

Dr. Grace Macarubbo , DDS

Dentist - General Practice

NPI 1447326467

Doctor of Dental Surgery

Moran Manosov

Dentist - General Practice

NPI 1972385714

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated January 13, 2021

Recorded as LEA MANOSOV, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2020 COFFEE RD, STE E, MODESTO, CA 953852421 (Tel: 2095719855)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2020 COFFEE RD, STE E, MODESTO, CA 953852421 (Tel: 2095719855)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LENMARA MANOSOV, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #48326 in CA)

🟢
Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407961089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: January 13, 2021
Sole Proprietor: No

Mailing Address

2020 Coffee Rd, Ste E

Modesto, CA 953852421

Phone: 2095719855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.