Charles Steven Mangan in Little Rock - General Practice

Charles Steven Mangan - NPI 1144365446

Charles Steven Mangan is a General Practice in Little Rock, Arkansas. Charles Steven Mangan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Steven Mangan is 1144365446. The last update date is 2007-07-08.

Charles Steven Mangan's current location address is 2011 N Van Buren St, Little Rock, Arkansas. You can contact this provider via phone number 5016661188 and fax number 5016661189. The mailing address for Charles Steven Mangan is 2011 N Van Buren St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Steven Mangan
Address 2011 N Van Buren St, Little Rock, Arkansas
Phone Number 5016661188
Fax Number 5016661189
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1144365446
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2011 N Van Buren St
City Little Rock
State Arkansas (AR)
Post Code 722074739
Phone Number 5016661188
Fax Number 5016661189

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No AR2807
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
662941 AR UNITED CONCORDIA
58242 AR BLUE CROSS BLUE SHIELD

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FAQs about Charles Steven Mangan

What is the unique 10-digit identifier code assigned to Charles Steven Mangan by the Centers for Medicare & Medicaid Services?

The Charles Steven Mangan has been issued the NPI (National Provider Identifier) 1144365446 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Charles Steven Mangan is geographically located?

The Charles Steven Mangan is physically situated at the following location: 2011 N Van Buren St, Little Rock, AR, 722074739.

What is Charles Steven Mangan's area of expertise and its corresponding taxonomy classification?

The Charles Steven Mangan's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1144365446 to Charles Steven Mangan?

The Centers for Medicare & Medicaid Services assigned the 1144365446 to Charles Steven Mangan on 2007-02-21.

When was the Charles Steven Mangan's information last updated?

The Charles Steven Mangan's information was last updated on 2007-07-08.

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