DR. STEPHEN JAMES MANGAN (NPI# 1316260854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316260854 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JAMES MANGAN |
| Credential | DMD |
| Practice Address |
1625 E Las Olas Blvd Fort Lauderdale FL 33301-2357 |
| Mailing Address |
1111 Se 5th Ct Fort Lauderdale FL 33301-3005 |
| Practice Telephone | 9544635051 |
| Mailing Telephone | 9546550251 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN18777 | FL | Dental Providers |
| Street Address |
1625 E LAS OLAS BLVD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467491688 | Daniel Webster Mccawley | Dentist | 1625 E Las Olas Blvd, Fort Lauderdale, FL 33301-2357 | 2006-06-05 |
| 1730429424 | Maria Calzadilla Camp | Dentist | 1625 E Las Olas Blvd, Fort Lauderdale, FL 33301-2357 | 2013-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165518 | Danielle S. Jaffe, Dds P.a. | Dentist | 1312 E Broward Blvd, Fort Lauderdale, FL 33301-2136 | 2014-04-28 |
| 1649363268 | Gretchen Heinsen | Dentist | 3037 E Commercial Blvd Ste A, Fort Lauderdale, FL 33308-4311 | 2006-10-02 |
| 1083624100 | Sonia I Pena Dmd Pa | Dentist | 3020 Ne 32 Ave, Ste 322, Fort Lauderdale, FL 33308 | 2006-08-09 |
| 1528077476 | Sonia I. Pena | Dentist | 3020 Ne 32nd Ave Ste 322, Fort Lauderdale, FL 33308-7204 | 2006-08-07 |
| 1578805495 | B Harvey Wiener | Dentist | 800 E Broward Blvd, Suite 305, Fort Lauderdale, FL 33301-2008 | 2013-03-18 |
| 1912104407 | Renee F. Litvak | Dentist | 3001 E Commercial Blvd, Fort Lauderdale, FL 33308 | 2007-06-28 |
| 1831306737 | Diane T. Mcginty | Dentist | 3020 Ne 32 Ave, Ste 322, Fort Lauderdale, FL 33308 | 2007-05-17 |
| 1275758302 | B Harvey Wiener, Dds., Pa | Dentist | 800 E Broward Blvd, Suite 305, Fort Lauderdale, FL 33301-2008 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
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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.