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Jeffrie Maneepetasut, D.M.D
NPI 1972631059 · Dentist · Los Angeles, CA
Jeffrie Maneepetasut, D.M.D is a Dentist provider in Los Angeles, CA (NPI 1972631059).
Provider details
- NPI number
- 1972631059
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 53468 (CA)
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
19 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
4606 Hollywood Blvd
Suite B
Los Angeles, CA 90027-5462
Phone: (617) 312-5663
Street-level locationGet directions
Mailing address
4606 Hollywood Blvd
Los Angeles, CA 90027-5462
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2013-04-22
Frequently asked questions
- What is Jeffrie Maneepetasut's NPI number?
- Jeffrie Maneepetasut's National Provider Identifier (NPI) is 1972631059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrie Maneepetasut's specialty?
- Jeffrie Maneepetasut is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jeffrie Maneepetasut located?
- Jeffrie Maneepetasut's practice location on file with NPPES is 4606 Hollywood Blvd, Los Angeles, CA 90027-5462.
- What is Jeffrie Maneepetasut's phone number?
- The practice phone number listed in the NPPES registry for Jeffrie Maneepetasut is (617) 312-5663.
- Is Jeffrie Maneepetasut's NPI active?
- Yes — Jeffrie Maneepetasut's NPI (1972631059) is active in the NPPES registry as of the last update on 2013-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.