J. Brett Mangum Dds Pc

LBN: J. Brett Mangum Dds Pc
J. Brett Mangum Dds Pc is an health care organization with primary practice located at 1767 Willow Creek Rd , Prescott AZ 86301-1154. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. J. Brett Mangum Dds Pc can be contacted via phone (928) 778-4110, or through Mangum, Joseph Brett via phone (928) 778-4110.

Contact Information

Primary practice address
1767 Willow Creek Rd Prescott AZ 86301-1154
Phone: (928) 778-4110
Fax: (928) 778-4114
Website:
Map and Directions
Authorized official contact:
Name: Mangum, Joseph Brett Doctor of Dental Surgery (DDS)
Phone: (928) 778-4110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D5563 Arizona

Profile Details

NPI number 1558433524
LBN Legal business name J. Brett Mangum Dds Pc
DBA Doing business as
Authorized official Mangum, Joseph Brett Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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