Provider Demographics
NPI:1821445578
Name:MANN, SEERAT (DDS)
Entity Type:Individual
Prefix:
First Name:SEERAT
Middle Name:
Last Name:MANN
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 1:6910 YELLOWSTONE BLVD APT NO-423
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3762
Mailing Address - Country:US
Mailing Address - Phone:201-417-3862
Mailing Address - Fax:
Practice Address - Street 1:6910 YELLOWSTONE BLVD APT NO-423
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3762
Practice Address - Country:US
Practice Address - Phone:201-417-3862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY059602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program