Individual provider · Type 1 NPI

Kelly A. Mangrum, DDS

General Practice Dentistry · Cottonwood Heights, UT

NPI number 1396992699 Active

Practice location

7110 Highland Dr
Cottonwood Heights, UT 84121-3704

Call (801) 943-6880 Map

Fax (801) 943-4744

Mailing address

7L110 South Highland Drive
Cottonwood Heights, UT 84121

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2663 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1396992699

Kelly A. Mangrum, DDS's National Provider Identifier is 1396992699, issued on Aug 19, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Aug 19, 2008.