Caleb Mangum

General Practice Dentistry · Frisco, TX

Individual Active NPI

NPI number 1619454287

Practice location

4685 Eldorado Pkwy Ste 200
Frisco, TX 75033-0290
Phone
(214) 618-5450

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NPI record

NPI
1619454287
Entity type
Individual (Type 1)
Enumeration date
July 25, 2018
Last updated
July 25, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 34039 TX

Mailing address

17712 River Chase Dr
Dallas, TX 75287-6265
Phone
(505) 301-4473

About Caleb Mangum

Caleb Mangum is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4685 Eldorado Pkwy Ste 200, Frisco, TX 75033-0290. The NPI number 1619454287 was assigned on July 25, 2018 and the record was last updated on July 25, 2018.

Caleb Mangum lists a license in the registry: #34039 (TX) 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 Caleb Mangum?

The NPI number is 1619454287.

What is the phone number of Caleb Mangum?

The phone number listed for the practice location is (214) 618-5450.

Where is Caleb Mangum located?

4685 Eldorado Pkwy Ste 200, Frisco, TX 75033-0290.

What is the taxonomy code for Caleb Mangum?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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