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
Fax: (636) 278-3033
Website:

Health care specialties

SpecialtyCodeLicense #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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