Provider Demographics
NPI:1972867547
Name:ALEXIOU-MANOFSKY, BARBARA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:ALEXIOU-MANOFSKY
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 1:3653 DARROW RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-4012
Mailing Address - Country:US
Mailing Address - Phone:330-688-0067
Mailing Address - Fax:
Practice Address - Street 1:3653 DARROW RD
Practice Address - Street 2:SUITE #2
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4012
Practice Address - Country:US
Practice Address - Phone:330-688-0067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0237101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice