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Search › Michigan › 122300000X

Jacob Mangum, DDS

NPI 1508751454 · on the registry since 2025

Practice

Address
2215 Fuller Rd
Ann Arbor, MI 48105
Phone
(734) 769-7100
Organisation at this address
Vahs
Ann Arbor Va
Ann Arbor Vamc
Ann Arbor Vamc
Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
989

Additional practice sites

  • 1500 E Medical Center Dr, Ann Arbor, MI

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-11

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 Michigan