Individual provider · Type 1 NPI

Bianca Maniscalco

General Practice Dentistry · Waukegan, IL

NPI number 1740980077 Active

Practice location

2821 Grand Ave
Waukegan, IL 60085-2372

Call (847) 662-4400 Map

Mailing address

761 Harrison Ave Apt 407
Boston, MA 02118-3478

Other practice locations

  • 761 Harrison Ave Apt 407, Boston, MA 02118-3478 · (630) 450-6391

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000X390200000X (MA)
General Practice Dentistry Primary 1223G0001X019.035496 (IL)

General Practice Dentistry: 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.

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About NPI 1740980077

Bianca Maniscalco's National Provider Identifier is 1740980077, issued on Mar 6, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waukegan, IL. The record was last updated on Aug 28, 2024.