OrganizationActive
Mark Mangels, DMD, LLC
NPI 1497959894 · Periodontics · Saint Peters, MO
Provider details
- NPI number
- 1497959894
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mark Mangels, Owner(636) 970-0295
- License
- 013969 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1 Mid Rivers Mall Dr
Suite 370
Saint Peters, MO 63376-4320
Phone: (636) 970-0295
Approximate (ZIP-level) locationGet directions
Mailing address
1 Mid Rivers Mall Dr
Saint Peters, MO 63376-4320
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2007-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.