Doctor profile · Federal record
Dr. Tyra Manso, DDS
Pediatric Dentist · Pediatric Dentist · Montclair, NJ
- NPI 1467618512
- 18 yrs on file
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
31 Valley RD, 2Nd Floor
Montclair, NJ 070422708
(973) 771-5387
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- June 2, 2016
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- New Jersey #22DI023814 · New York #0539911
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467618512. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$169
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dilon Technologies, INC. | 1 | $169.02 |
By nature of payment
Frequently asked questions
What is Dr. Tyra Manso's medical specialty?
Dr. Tyra Manso practices Pediatric Dentist in Montclair, NJ.
Where does Dr. Tyra Manso practice?
Dr. Tyra Manso practices at 31 Valley RD, Montclair, NJ 070422708. Office phone: 9737715387.
What is Dr. Tyra Manso's NPI?
Dr. Tyra Manso's National Provider Identifier (NPI) is 1467618512, issued by NPPES.