Dimplejit Singh Mangat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002752-15 Issued in WI

Practice address

2280 W Mason St
Green Bay, WI 54303-4707

Phone

(920) 321-3501

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1912650656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 SPYGLASS HILL DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116116",
            "telephone_number": "920-288-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034707",
            "telephone_number": "920-321-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAT",
        "first_name": "DIMPLEJIT",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002752-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Joy Malvitz, MA/CCC-SLP
• Mamma Gese
• Mark A. Mancheski, O.D.
• Trevor James Mancl, DPT
• Michael James Mandich, A.T.C.
• Erika Susanne Mangin, RN, APN, PMHNP-BC
• Kali Maniam, MD
• Amber Rae Manion
• David Alvin Manke, MD
• Michael R Mankovecky, DPM

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.