Provider Demographics
NPI:1093344574
Name:MANNS, CHELSEA BIANCA (DDS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:BIANCA
Last Name:MANNS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-2914
Mailing Address - Country:US
Mailing Address - Phone:484-494-1612
Mailing Address - Fax:
Practice Address - Street 1:523 N OAK AVE
Practice Address - Street 2:
Practice Address - City:ALDAN
Practice Address - State:PA
Practice Address - Zip Code:19018-3032
Practice Address - Country:US
Practice Address - Phone:610-259-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS042990122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist