Individual provider · Type 1 NPI

Timothy William Mangelsdorf

General Practice Dentistry · Kingman, AZ

NPI number 1619924669 Active

Practice location

2249 E Hualapai Mountain Rd, Suite A
Kingman, AZ 86401-8323

Fax (928) 718-2137

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3751 (AZ)

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 1619924669

Timothy William Mangelsdorf's National Provider Identifier is 1619924669, issued on May 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kingman, AZ. The record was last updated on Jul 13, 2026.