Dr. Richard J. Mantoan , DDS
Dentist - General Practice • Flossmoor, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Mantoan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Mantoan, DDS was a registered Dentist - General Practice practicing in Flossmoor, IL. Throughout an active medical career spanning 1 years, Dr. Mantoan provided care at the practice location at 19815 GOVERNORS HWY until profile deactivation on 2006-03-16.
Practice Location & Contact Primary Location
19815 Governors Hwy
Ste 7
Flossmoor, IL 604224388
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Flossmoor, IL
Practicing in Flossmoor, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Allergy & Immunology - Allergy
Doctor of Medicine (M.D.)
Dentist - Pediatric Dentistry
Doctor of Dental Surgery
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 19815 GOVERNORS HWY, STE 7, FLOSSMOOR, IL 604224388 (Tel: 7087997800)
Registered at 19815 GOVERNORS HWY, STE 7, FLOSSMOOR, IL 604224388 (Tel: 7087997800)
Recorded as RICHARD MANTOAN, DDS
Dentist (License #19A15308 in IL)
Record officially reactivated for active practice on March 20, 2006
Record deactivated on March 16, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
19815 Governors Hwy, Ste 7
Flossmoor, IL 604224388
Phone: 7087997800
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