IndividualActive
Aldrene Manasan, DMD
NPI 1295213254 · Dentist · Fort Eisenhower, GA
Provider details
- NPI number
- 1295213254
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DDS102593 (CA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Dental Providers
Practice location
228 E Hospital Rd Bldg 320
Fort Eisenhower, GA 30905-6011
Phone: (706) 787-5102
Approximate (ZIP-level) locationGet directions
Mailing address
2110 Sylvan Lake Dr
Grovetown, GA 30813-5852
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.