Active NPIIndividual providerSole proprietor

Dr. Jonathan Mangot, DMD

Dentist, General Practice in Waldwick, New Jersey

NPI Number1093871295
Practice location
61 Crescent Ave, Waldwick, NJ 07463-1431
Fax
201-445-1484
Last updated
July 8, 2007

Jonathan Mangot is a Dentist, General Practice based in Waldwick, NJ. Jonathan Mangot practices in Waldwick, NJ and has the professional credentials of DMD. The NPI Number for Jonathan Mangot is 1093871295 and holds a License No. 16135 (NJ). The current practice location address for Jonathan Mangot is 61 Crescent Ave, Waldwick, NJ 07463-1431 and can be reached out via phone at 210-445-1441 and via fax at 201-445-1484.

Provider Profile Details

NPI Number
1093871295
Provider Name
Jonathan Mangot
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
61 Crescent Ave, Waldwick, NJ 07463-1431
Phone Number
210-445-1441
Fax Number
201-445-1484
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Crescent Ave
Waldwick, NJ 07463-1431
Zip
07463-1431
Phone Number
210-445-1441
Fax Number
201-445-1484
Waldwick, NJ 07463Get directions →

Provider Business Mailing Address Details

Address
405 Pine Ln
Haworth, NJ 07641-1308
City
Haworth
State
NJ
Zip
07641-1308
Phone Number
201-385-2635
Fax Number
201-244-5381

License Information

License Number
16135
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan Mangot, DMD?

The NPI number of Dr. Jonathan Mangot, DMD is 1093871295. It was assigned on December 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan Mangot, DMD?

Dr. Jonathan Mangot, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 16135.

Where does Dr. Jonathan Mangot, DMD practice?

The practice location is 61 Crescent Ave, Waldwick, NJ 07463-1431. The office can be reached at 210-445-1441 (phone) or 201-445-1484 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093871295 directly on the NPPES registry website.

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