Provider Demographics
NPI:1124796305
Name:MANSWER, MAY (DDS)
Entity type:Individual
Prefix:DR
First Name:MAY
Middle Name:
Last Name:MANSWER
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 1:2380 VIA INSPIRADA STE 100B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1853
Mailing Address - Country:US
Mailing Address - Phone:702-844-6364
Mailing Address - Fax:
Practice Address - Street 1:2380 VIA INSPIRADA STE 100B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-1853
Practice Address - Country:US
Practice Address - Phone:702-844-6364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106531122300000X
NVS6-2401223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist