Individual provider · Type 1 NPI

John Mannelly

General Practice Dentistry · Machesney Park, IL

NPI number 1881979466 Active

About NPI 1881979466

John Mannelly's National Provider Identifier is 1881979466, issued on Oct 14, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Machesney Park, IL. The record was last updated on Jan 5, 2012.