Mang Dentistry II LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN16638 Issued in FL

Legal business name

MANG DENTISTRY II LLC

Practice address

6170 Gunn Hwy
Tampa, FL 33625-4014

Phone

(813) 961-1032

NPI assigned

Nov 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tim H Truong

Title

Manager

Phone

(813) 961-1032

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1144626136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254014",
            "telephone_number": "813-961-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254014",
            "telephone_number": "813-961-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANG DENTISTRY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-961-1032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16638",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Mandry
• Bryanna Elizabeth Mandujano, RDN
• Amanda De la Caridad Mane, RBT
• Joseph Mane, DC
• Nelson Mane, MD, DC
• Thomas Thinh Mang, D.C.
• Ashley Jean Mangabat, M.S., CCC-SLP
• Karen J Manganaro, LCSW
• Mary Rose Manganaro, MS
• Larry Joseph Manganello, APRN

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.