DR. PATRICK PROCOPIO YANONG MANGAN DDS NPI 1013401876

NPI Information

NPI: 1013401876
Provider Name: DR. PATRICK PROCOPIO YANONG MANGAN, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
ONE MAIN ST
PEABODY, MA
ZIP 01960
Phone: (978) 532-2700
Get Directions

DR. Patrick Procopio Yanong Mangan, DDS is a general practice dentist in Peabody, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Patrick Procopio Yanong Mangan, DDS NPI is 1013401876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ONE MAIN ST
PEABODY, MA
ZIP 01960
Phone: (978) 532-2700

The enumeration date for this NPI number is 6/15/2018 and was last updated on 7/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223G0001X	Dentist	General Practice	DN1858009	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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