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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY A MANGRUM, D.D.S.

Active Sole Proprietor

KELLY A MANGRUM, D.D.S. is a General Dentistry healthcare provider located in COTTONWOOD HEIGHTS, Utah. NPI 1396992699 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · COTTONWOOD HEIGHTS, UT

Registration Details

NPI Number
1396992699
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2008 (17.993296552811 yrs)
Last Updated
Aug 19, 2008
License
2663 (UT)
Sole Proprietor
Yes

Practice Information

Address
7110 HIGHLAND DR
COTTONWOOD HEIGHTS, UT, 841213704
Browse UT providers · Browse ZIP 84121
Phone
8019436880
Fax
8019434744
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in COTTONWOOD HEIGHTS, UT

Name Credential NPI
DR. CURTIS M HOWA DMD 1669591970
RAY E DILLMAN D.D.S. P.C. 1528274180
DR. TREVOR MICHAEL JENSEN D.D.S. 1073792776
JOHN PERRY RICH III D.D.S. 1871749135
AARON PRESTON ROUNDY DDS 1235404096
DR. CONNOR COCKRELL DDS 1043869290
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.