Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740980077 Individual Practitioner Female Practitioner

Bianca Maniscalco

Dentist - General Practice • Waukegan, IL

Professional Overview & Biography Verified Profile Summary

Bianca Maniscalco is a registered healthcare professional specializing in Dentist - General Practice in Waukegan, IL. Practice services are available at 2821 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2821 Grand Ave

Waukegan, IL 600852372

Telephone 8476624400
Associated Practice Facility / Clinic
🏢 Dental Experts, Llc Facility NPI 1245487792

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waukegan, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Waukegan, IL (5581 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: 2024-08-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.035496

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MA 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

761 Harrison Ave Apt 407

Boston, MA 021183478

Phone: 6304506391

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Laimarie Alas Dorsey , DMD, MS

Dentist - General Practice

NPI 1225731532

Doctor of Dental Medicine, Master of Science

NPI 1336677665
NPI 1427502350

Doctor of Dental Medicine

NPI 1467730275
Matthew Lupsan

Dentist - General Practice

NPI 1619692811
Dr. David Jeong , DDS

Dentist - General Practice

NPI 1639876428

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 28, 2024

Registered at 2821 GRAND AVE, WAUKEGAN, IL 600852372 (Tel: 8476624400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2023

Registered at 761 HARRISON AVE APT 407, BOSTON, MA 021183478 (Tel: 6304506391)

📍
Updated Business Mailing Address March 06, 2023

Registered at 761 HARRISON AVE APT 407, BOSTON, MA 021183478 (Tel: 6304506391)

👤
Provider Name / Credentials Updated March 06, 2023

Recorded as BIANCA MANISCALCO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Student in an Organized Health Care Education/Training Program (License #390200000X in MA)

🟢
Initial NPI Registration & Enumeration March 06, 2023

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: 1740980077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2023
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

761 Harrison Ave Apt 407

Boston, MA 021183478

Phone: 6304506391

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.