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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417654849

Dr. Nicholas Anthony Manoussos, DDS is a Student in an Organized Health Care Education/Training Program in Montclair, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
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

1 Bay Ave
Montclair, NJ 07042-4837
Phone: (973) 429-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417654849
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 9, 2023
Mailing address11 Soundbay Dr, Lloyd Harbor, NY 11743

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