Patrick Procopio Yanong Mangan, DDS

General Practice Dentistry · Peabody, MA

Individual Active NPI

NPI number 1013401876

Practice location

One Main St
Peabody, MA 01960
Phone
(978) 532-2700

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NPI record

NPI
1013401876
Entity type
Individual (Type 1)
Enumeration date
June 15, 2018
Last updated
July 5, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1858009 MA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2937 Weald St
Whiteland, IN 46184-9255
Phone
(312) 998-0104

About Dr. Mangan

Patrick Procopio Yanong Mangan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is One Main St, Peabody, MA 01960. The NPI number 1013401876 was assigned on June 15, 2018 and the record was last updated on July 5, 2018.

Dr. Mangan lists a license in the registry: #DN1858009 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Patrick Procopio Yanong Mangan, DDS?

The NPI number is 1013401876.

What is the phone number of Dr. Mangan?

The phone number listed for the practice location is (978) 532-2700.

Where is Dr. Mangan located?

One Main St, Peabody, MA 01960.

What is the taxonomy code for Dr. Mangan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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