DR. PARTH MANGROLA (NPI# 1912528548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912528548 |
| Entity Type | Individual |
| Full Name | DR. PARTH MANGROLA |
| Credential | DMD |
| Practice Address |
3320 Rutger St Saint Louis MO 63104-1122 |
| Mailing Address |
9727 Keeler Ave Skokie IL 60076-1129 |
| Practice Telephone | 3149778381 |
| Mailing Telephone | 8473732744 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
019.031236 | IL | Dental Providers |
| Street Address |
3320 RUTGER ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053467746 | St. Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2007-01-26 |
| 1700400868 | Strater R Crowfoot | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-04 |
| 1396369757 | Jamie Carolina Terrill | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-02 |
| 1437778651 | Edward Hoon Lee | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-04-09 |
| 1174184220 | Soo Hye Cho | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-27 |
| 1487213435 | Sarah Corine Crepps | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-12 |
| 1699332957 | Meagan Inclan | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-05-22 |
| 1841701497 | Theodore Young Tutwiler | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-10-21 |
| 1295267185 | Patrick Stamos | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-03-30 |
| 1104377431 | Saint Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2016-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598988909 | Matthew Shelby Slaven | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-04-11 |
| 1093737264 | William Cohen | Dentist | 777 S New Ballas Rd Ste 217w, Saint Louis, MO 63141-8717 | 2006-07-24 |
| 1871756130 | David Douglas Miley | Dentist | 1034 S Brentwood Blvd, Suite 740, Saint Louis, MO 63117-1223 | 2008-07-08 |
| 1124212790 | Periodontics Ltd | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-08-28 |
| 1164623963 | William B Albair | Dentist | 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 | 2007-05-30 |
| 1417166000 | Mary Hagan Burke | Dentist | 5600 Oakland Ave, Dental Hygiene St Louis Community College-forest Park, Saint Louis, MO 63110-1393 | 2007-05-21 |
| 1003021833 | Raphael Ivan Williams | Dentist | 8515 Delmar Blvd, 217, Saint Louis, MO 63124-2168 | 2007-05-14 |
| 1720290372 | Deshmukh Dds, PC | Dentist | 1034 S Brentwood Blvd, Suite #740, Saint Louis, MO 63117-1223 | 2007-05-04 |
| 1174746564 | George V Duello | Dentist | 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 | 2007-04-11 |
| 1861523581 | Marwan Assaf | Dentist | 11709 Old Ballas Rd, Suite 206, Saint Louis, MO 63141-7029 | 2007-03-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.