Provider Demographics
NPI:1023829868
Name:MANEV, STANIMIR
Entity type:Individual
Prefix:
First Name:STANIMIR
Middle Name:
Last Name:MANEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6619 MARBELLA DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5046
Mailing Address - Country:US
Mailing Address - Phone:416-871-1556
Mailing Address - Fax:
Practice Address - Street 1:6605 HILLWAY CIR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-8754
Practice Address - Country:US
Practice Address - Phone:239-317-9412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN297061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice