Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ian Thomas Manfredo, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235827791

Dr. Ian Thomas Manfredo, DMD is a Student in an Organized Health Care Education/Training Program in North Port, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

5696 Tuscola Blvd
North Port, FL 34287-2738
Phone: (941) 257-0726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1750 Tamiami Trl Ste 100, Port Charlotte, FL 33948-1045 — (941) 235-1001

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN28617 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1235827791
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Other providers in North Port