Provider Demographics
NPI:1548879497
Name:MANKU, STEVEN SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SINGH
Last Name:MANKU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 HENRY AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2723
Mailing Address - Country:US
Mailing Address - Phone:929-453-8154
Mailing Address - Fax:
Practice Address - Street 1:295 OLD EAGLE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2609
Practice Address - Country:US
Practice Address - Phone:610-293-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0449201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice