Individual provider · Type 1 NPI

Jacob Mangum, DDS

Dentist · Ann Arbor, MI

NPI number 1508751454 Active

Practice location

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Mailing address

262 Longford Dr
Granville, OH 43023-9282

Other practice locations

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (734) 936-4000

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901602527 (MI)

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 1508751454

Jacob Mangum, DDS's National Provider Identifier is 1508751454, issued on Jun 11, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jun 11, 2025.