IndividualActive
Rajeev Manchukonda, D.M.D
NPI 1952531915 · General Practice Dentistry · Lagrange, OH
Provider details
- NPI number
- 1952531915
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30-024287 (OH)
Specialties & taxonomies
Dental Providers
Practice location
607 N Center St
Lagrange, OH 44050-9001
Phone: (440) 355-5000
Fax: (440) 355-5719
Approximate (ZIP-level) locationGet directions
Mailing address
607 N Center St
Lagrange, OH 44050-9001
Registry dates
- Enumerated
- 2009-07-23
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.