Mangum Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANGUM FAMILY DENTISTRY PLLC

Practice address

1308 Crescent St Ste C
Denton, TX 76201-2702

Phone

(940) 382-3530

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Caleb Mangum, DMDNPI 1619454287

Title

Dentist

Phone

(505) 301-4473

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caleb Mangum

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1619454287
  NPD Authorized official
• Norman Jerome Pomerance

  • General Practice Dentistry
  • Denton, TX
  • NPI 1710979737
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1649929449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CRESCENT ST STE C",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CRESCENT ST STE C",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012702",
            "telephone_number": "940-382-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGUM FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-301-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Mancuso, D.M.D.
• Robin Mandalise
• Shikha Mane, M.D.
• Matei Nicholas Manea, PA-C
• Laura Mangarelli-Kallenberg, P.T.
• Misty D Manie, LMFT, LCDC, SAP
• Allison Manis, PHARMD
• Manisha Shah MD PA
• Meenakshi Manivannan, MD
• Casey Manning, MS, CCC-SLP

• General Practice Dentistry in Denton, TX
• Providers in Denton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.