Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HOLLY MANGUM, DMD
Active Sole ProprietorDR. HOLLY MANGUM, DMD is a Dentist healthcare provider located in LORIS, South Carolina. NPI 1144483728 is currently active in the NPPES registry. Verify at CMS.
Dentist · LORIS, SC
Registration Details
- NPI Number
- 1144483728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2008 (18.085044227864 yrs)
- Last Updated
- Jul 3, 2008
- License
-
4487 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4004 BAYBORO STLORIS, SC, 295692867Browse SC providers · Browse ZIP 29569
- Phone
- 8437562273
- Fax
- 8437560242
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LORIS, SC
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD WESLEY TEAL JR. | DMD | 1013988344 |
| DR. JOHN EDWARD HARVEY | DMD | 1740252758 |
| DAVID W CHAMPION JR. | D.D.S. | 1316054554 |
| DR. WINFERD DALE HOLT | DDS | 1336486174 |
| DANIEL TAYLOR | — | 1750862405 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.