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Search › Arizona › 122300000X

Richard Mangum, D.D.S

NPI 1447326228 · on the registry since 2006

Practice

Address
1767 Willow Creek Rd
Prescott, AZ 86301
Phone
(928) 778-4110
Fax
(928) 778-4114
Organisation at this address
Richard Mangum Dds Pc
J. Brett Mangum Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona