Mark Mangels, Dmd, Llc in Saint Peters - Periodontics
Mark Mangels, Dmd, Llc - NPI 1497959894
Mark Mangels, Dmd, Llc is a Periodontics in Saint Peters, Missouri. Mark Mangels, Dmd, Llc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark Mangels, Dmd, Llc is 1497959894. The last update date is 2007-11-01.
Mark Mangels, Dmd, Llc's current location address is 1 Mid Rivers Mall Dr, Saint Peters, Missouri. You can contact this provider via phone number 6369700295. The mailing address for Mark Mangels, Dmd, Llc is 1 Mid Rivers Mall Dr, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Mangels, Dmd, Llc |
|---|---|
| Address | 1 Mid Rivers Mall Dr, Saint Peters, Missouri |
| Phone Number | 6369700295 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mangels Alan Mark |
| Credentials | DMD |
| Telephone Number | 6369700295 |
NPI Number Detail
| NPI Number | 1497959894 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 1 Mid Rivers Mall Dr |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633764320 |
| Phone Number | 6369700295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 13969 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Mark Mangels, Dmd, Llc's unique identification number?
The Mark Mangels, Dmd, Llc has been assigned the NPI (National Provider Identifier) Number 1497959894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark Mangels, Dmd, Llc's physical address?
The Mark Mangels, Dmd, Llc is physically located at 1 Mid Rivers Mall Dr, in the city of Saint Peters, MO, with the postal code 633764320.
What is Mark Mangels, Dmd, Llc's area of expertise and its corresponding taxonomy classification?
The Mark Mangels, Dmd, Llc's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When did Mark Mangels, Dmd, Llc receive its 1497959894 assignment?
The Mark Mangels, Dmd, Llc was assigned its 1497959894 on 2007-06-12, which is the date when this unique identifier was issued to the organization.
When was the information related to Mark Mangels, Dmd, Llc most recently updated or refreshed?
The details pertaining to the Mark Mangels, Dmd, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-01.
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