Provider Demographics
NPI:1851504187
Name:MANENTE, SALVATORE JOHN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:JOHN
Last Name:MANENTE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:515 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1507
Mailing Address - Country:US
Mailing Address - Phone:716-285-3588
Mailing Address - Fax:716-285-1083
Practice Address - Street 1:515 3RD ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1507
Practice Address - Country:US
Practice Address - Phone:716-285-3588
Practice Address - Fax:716-285-1083
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0439411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics