IndividualActive
Jacob Mangum, DDS
NPI 1508751454 · Dentist · Ann Arbor, MI
Jacob Mangum, DDS is a Dentist provider in Ann Arbor, MI (NPI 1508751454).
Provider details
- NPI number
- 1508751454
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901602527 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
Street-level locationGet directions
Mailing address
262 Longford Dr
Granville, OH 43023-9282
Additional practice locations (1)
- 1500 E Medical Center DrAnn Arbor, MI 48109-5000Phone: (734) 936-4000
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Jacob Mangum's NPI number?
- Jacob Mangum's National Provider Identifier (NPI) is 1508751454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Mangum's specialty?
- Jacob Mangum is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jacob Mangum located?
- Jacob Mangum's practice location on file with NPPES is 2215 Fuller Rd, Ann Arbor, MI 48105-2303.
- What is Jacob Mangum's phone number?
- The practice phone number listed in the NPPES registry for Jacob Mangum is (734) 769-7100.
- Is Jacob Mangum's NPI active?
- Yes — Jacob Mangum's NPI (1508751454) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.