DR. ERIK LEGRAND MANGELSON DDS NPI 1497493142

NPI Information

NPI: 1497493142
Provider Name: DR. ERIK LEGRAND MANGELSON, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
200 HAWKINS DR
IOWA CITY, IA
ZIP 52242
Phone: (319) 356-7339
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DR. Erik Legrand Mangelson, DDS is a student in an organized health care education training program in Iowa City, IA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Erik Legrand Mangelson, DDS NPI is 1497493142. 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:

200 HAWKINS DR
IOWA CITY, IA
ZIP 52242-009
Phone: (319) 356-7339
Fax: (319) 353-6923

The enumeration date for this NPI number is 5/23/2022 and was last updated on 7/22/2022.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	RES-30630	IOWA	No
2	204E00000X	Oral & Maxillofacial Surgery		RES-30630	IOWA	No
3	390200000X	Student in an Organized Health Care Education/Training Program		RES-30630	IOWA	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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