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

Dr. Konstantino J Mantis, DDS

Individual provider General Practice Dentistry · NPI 1710193917

Dr. Konstantino J Mantis, DDS is a General Practice Dentistry in Wilmette, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1625 Sheridan Rd Ste J
Wilmette, IL 60091-1800
Phone: (847) 256-4776
Fax: (847) 256-0989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019020682 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019020682 (IL)

Record details

NPI number1710193917
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1625 Sheridan Rd Ste J, Wilmette, IL 60091-1800

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