Richard Mangum Dds Pc in Prescott - Dentist
Richard Mangum Dds Pc - NPI 1700952587
Richard Mangum Dds Pc is a Dentist in Prescott, Arizona. Richard Mangum Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Mangum Dds Pc is 1700952587. The last update date is 2020-08-22.
Richard Mangum Dds Pc's current location address is 1767 Willow Creek Rd, Prescott, Arizona. You can contact this provider via phone number 9287784110 and fax number 9287784114. The mailing address for Richard Mangum Dds Pc is 1767 Willow Creek Rd, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Richard Mangum Dds Pc |
|---|---|
| Address | 1767 Willow Creek Rd, Prescott, Arizona |
| Phone Number | 9287784110 |
| Fax Number | 9287784114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mangum Turner Richard |
| Credentials | D.D.S. |
| Telephone Number | 9287784110 |
NPI Number Detail
| NPI Number | 1700952587 |
|---|---|
| Provider Enumeration Date | 2006-11-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1767 Willow Creek Rd |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863011154 |
| Phone Number | 9287784110 |
| Fax Number | 9287784114 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1904 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Richard Mangum Dds Pc by the Centers for Medicare & Medicaid Services?
The Richard Mangum Dds Pc has been issued the NPI (National Provider Identifier) 1700952587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Richard Mangum Dds Pc's facilities are situated?
The facilities of Richard Mangum Dds Pc are physically located at the following address: 1767 Willow Creek Rd, Prescott, AZ, 863011154.
What is Richard Mangum Dds Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Mangum Dds Pc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did Richard Mangum Dds Pc receive its 1700952587 assignment?
The Richard Mangum Dds Pc was assigned its 1700952587 on 2006-11-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Richard Mangum Dds Pc's details last updated?
The information pertaining to the Richard Mangum Dds Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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