DR. JOSEPH BRETT MANGUM (NPI# 1194897165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194897165 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH BRETT MANGUM |
| Credential | DDS |
| Practice Address |
1767 Willow Creek Rd Prescott AZ 86301-1154 |
| Practice Telephone | 9287784110 |
| Practice Fax Number | 9287784114 |
| Mailing Telephone | 9287784110 |
| Mailing Fax Number | 9287784114 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D5563 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023334562 | Joseph Mangum | Physician Assistant | 5 Washington Place, Suite 1b, Bedford, NH 03110 | 2010-04-08 |
| Street Address |
1767 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447326228 | Richard Turner Mangum | Dentist | 1767 Willow Creek Rd, Prescott, AZ 86301-1154 | 2006-11-25 |
| 1700952587 | Richard Mangum Dds PC | Dentist | 1767 Willow Creek Rd, Prescott, AZ 86301-1154 | 2006-11-25 |
| 1558433524 | J. Brett Mangum Dds PC | Dentist | 1767 Willow Creek Rd, Prescott, AZ 86301-1154 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664475 | Smiles of Arkansas Dental Center, Pllc | Dentist | 1495 W 1st St N, Prescott, AR 71857-3340 | 2018-09-28 |
| 1861985566 | Joshua Michael Allen | Dentist | 815 Gail Gardner Way Ste B, Prescott, AZ 86305-1800 | 2018-06-07 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1902245434 | Tori Balbos | Dentist | 3765 Crossings Dr, Suite A, Prescott, AZ 86305-7121 | 2013-06-18 |
| 1336407386 | Hillary Jane Hunter | Dentist | 1267 Walnut St, Prescott, WI 54021-1060 | 2012-04-27 |
| 1255564506 | An Elegant Smile P.C. | Dentist | 980 Willow Creek Rd Ste 103, Prescott, AZ 86301-1619 | 2009-09-02 |
| 1083880082 | Mark Hayden | Dentist | 350 Whipple St, Prescott, AZ 86301-1714 | 2008-04-30 |
| 1073791919 | Keith L Rosdahl | Dentist | 1959 Commerce Center Cir., Prescott, AZ 86301 | 2008-02-02 |
| 1053517185 | Michele A Bibeau | Dentist | 1058 Fair St Ste A, Prescott, AZ 86305-1803 | 2007-06-25 |
| 1558564997 | Gene Allen | Dentist | 680 Gail Gardner Way, Prescott, AZ 86305-2335 | 2007-06-05 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.