Dr. Agisilaos Peter Manickas
Prosthodontist
803 Mass Ave
Lexington
, Massachusetts 02420-3918
Dr. Agisilaos Peter Manickas
Prosthodontist
803 Mass Ave
Lexington
, Massachusetts 02420-3918
(781) 862-3050
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Agisilaos Peter Manickas
- 803 Mass Ave
- Lexington, MA
- Zip : 02420-3918
- Fax : (781) 862-3050
- Phone : (781) 862-8220
Second Address
- Dr. Agisilaos Peter Manickas
- 803 Mass Ave
- Lexington, MA
- Zip : 02420-3918
- Fax : (781) 862-3050
- Phone : (781) 862-8220
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 8886 | MA |
National Provider Identifier
| NPI | 1134391675 |
|---|---|
| Provider Name | Dr. Agisilaos Peter Manickas |
| First Address | Lexington, MA 02420-3918 |
| Second Address | Lexington, MA 02420-3918 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2008 |
| Last Update Date | 25/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.