Mangels, Mark Alan
Mangels, Mark Alan is an sole proprietor health care provider with primary practice located at 1 Mid Rivers Mall Dr Suite 370, Saint Peters MO 63376-4320. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mangels, Mark Alan can be contacted via phone (636) 970-0295.Contact Information
Primary practice address
1 Mid Rivers Mall Dr Suite 370
Saint Peters MO 63376-4320
Phone: (636) 970-0295
Fax: (636) 278-3033
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 2005013969 | Missouri |
Profile Details
NPI number | 1215945415 |
---|---|
LBN Legal business name | Mangels, Mark Alan |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2006 |
Last updated | Jan 4th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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