KENNETH MANGANO, DDS PA (NPI# 1487798856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487798856 |
| Entity Type | Organization |
| Organization Name | KENNETH MANGANO, DDS PA |
| Practice Address |
8025 Ritchie Hwy Suite 204 Pasadena MD 21122-1031 |
| Practice Telephone | 4107663453 |
| Practice Fax Number | 4107663454 |
| Mailing Telephone | 4107663453 |
| Mailing Fax Number | 4107663454 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH MANGNANO (PRESIDENT) |
| Authorized Official Telephone | 4107663453 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12584 | MD | Dental Providers |
| Street Address |
8025 RITCHIE HWY SUITE 204 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332391 | Kenneth Mangano | Dentist | 8025 Ritchie Hwy, Suite 204, Pasadena, MD 21122-1031 | 2005-08-10 |
| 1902156953 | Smile Sisters, LLC | Dentist | 8025 Ritchie Hwy, Suite 205, Pasadena, MD 21122-1031 | 2012-09-18 |
| 1598022576 | Kevin M Seborg | Hearing Instrument Specialist | 8025 Ritchie Hwy, 102, Pasadena, MD 21122-1031 | 2012-04-16 |
| 1598929697 | Elizabeth Popovich-scott | Hearing Instrument Specialist | 8025 Ritchie Hwy, 102, Pasadena, MD 21122-1031 | 2008-07-17 |
| 1003077397 | Elise Dawn Guttridge | Audiologist | 8025 Ritchie Hwy, Suite 102, Pasadena, MD 21122 | 2008-06-19 |
| 1548434368 | 3d Hearing, Inc. | Hearing Aid Equipment | 8025 Ritchie Hwy, Ste 102, Pasadena, MD 21122-1031 | 2008-04-14 |
| 1285779785 | Karen Mygil | Dentist | 8025 Ritchie Hwy, Pasadena, MD 21122-1031 | 2007-02-21 |
| 1396887600 | Charles Kirk Payne | Hearing Instrument Specialist | 8025 Ritchie Hwy, Suite 102, Pasadena, MD 21122-1031 | 2007-02-13 |
| 1104918358 | Thomas Russell Levickas | Dentist | 8025 Ritchie Hwy, Suite 205, Pasadena, MD 21122-1031 | 2006-09-28 |
| 1740225903 | True Care Ambulatory Surgery Ct LLC | Urology | 8025 Ritchie Hwy, #114, Pasadena, MD 21122 | 2006-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| 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 |
|---|---|---|---|---|
| 1609117043 | Yoo Kyeom Huh | Dentist | 777 S Marengo Ave Apt 3, Pasadena, CA 91106-4733 | 2013-03-11 |
| 1467763763 | Michelle Anne Hack | Dentist | 8221 Ritchie Hwy, Suite 201, Pasadena, MD 21122-3938 | 2010-07-01 |
| 1326273343 | Irene C. Chang | Dentist | 151 S El Molino Ave Ste 300, Pasadena, CA 91101-2562 | 2009-05-19 |
| 1346443686 | Irene Chang A Professional Dental Corporation | Dentist | 151 S El Molino Ave Ste #300, Pasadena, CA 91101 | 2007-06-06 |
| 1700094208 | J Michael Jann | Dentist | 301 South Fai Oaks Ave, Pasadena, CA 91105 | 2007-05-18 |
| 1497802342 | Younes Safa | Dentist | 960 E Green St Ste 111, Pasadena, CA 91106-2401 | 2007-01-04 |
| 1811076219 | Arnold Takaichi Shibuya | Dentist | 133 S Hudson Ave Ste 1, Pasadena, CA 91101-2614 | 2006-11-04 |
| 1255332391 | Kenneth Mangano | Dentist | 8025 Ritchie Hwy, Suite 204, Pasadena, MD 21122-1031 | 2005-08-10 |
| 1417502592 | Arkady S. Tsibel Dental Corp | Dentist | 181 N Hill Ave, Pasadena, CA 91106-1955 | 2019-08-06 |
| 1861859506 | Ranjivendra Nath Dds Inc | Dentist | 1855 E Colorado Blvd, Pasadena, CA 91107-3554 | 2016-01-26 |
| Find all providers in PASADENA | ||||
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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.