IndividualActive
Marissa Mandap, DMD
NPI 1104018886 · General Practice Dentistry · Mesa, AZ
Marissa Mandap, DMD is a General Practice Dentistry provider in Mesa, AZ (NPI 1104018886).
Provider details
- NPI number
- 1104018886
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7325 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
846 S Stapley Dr
Mesa, AZ 85204-4243
Phone: (480) 834-8405
Street-level locationGet directions
Mailing address
846 S Stapley Dr
Mesa, AZ 85204-4243
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2007-08-15
Frequently asked questions
- What is Marissa Mandap's NPI number?
- Marissa Mandap's National Provider Identifier (NPI) is 1104018886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Mandap's specialty?
- Marissa Mandap is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Marissa Mandap located?
- Marissa Mandap's practice location on file with NPPES is 846 S Stapley Dr, Mesa, AZ 85204-4243.
- What is Marissa Mandap's phone number?
- The practice phone number listed in the NPPES registry for Marissa Mandap is (480) 834-8405.
- Is Marissa Mandap's NPI active?
- Yes — Marissa Mandap's NPI (1104018886) is active in the NPPES registry as of the last update on 2007-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.