Individual provider · Type 1 NPI

Edwin W. Mangram Ii, DDS

Dentist · Chicago, IL

NPI number 1003853425 Active

Practice location

3860 W Ogden Ave
Chicago, IL 60623-2460

Fax (872) 588-3021

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019-025445 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1003853425

Edwin W. Mangram Ii, DDS's National Provider Identifier is 1003853425, issued on Jun 2, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Nov 16, 2012.