Provider Demographics
NPI:1487274890
Name:MANWARING, DAVID F (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:MANWARING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5582
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-5582
Mailing Address - Country:US
Mailing Address - Phone:954-319-2596
Mailing Address - Fax:
Practice Address - Street 1:460 HAMMERSTONE LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5379
Practice Address - Country:US
Practice Address - Phone:970-668-3672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-26
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9373122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9373OtherN/A