OrganizationActive
J. Brett Mangum DDS PC
NPI 1558433524 · General Practice Dentistry · Prescott, AZ
J. Brett Mangum DDS PC is a General Practice Dentistry organization in Prescott, AZ (NPI 1558433524).
Provider details
- NPI number
- 1558433524
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joseph Mangum, President(928) 778-4110
- License
- D5563 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1767 Willow Creek Rd
Prescott, AZ 86301-1154
Phone: (928) 778-4110
Fax: (928) 778-4114
Street-level locationGet directions
Mailing address
1767 Willow Creek Rd
Prescott, AZ 86301-1154
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is J. Brett Mangum DDS PC's NPI number?
- J. Brett Mangum DDS PC's National Provider Identifier (NPI) is 1558433524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J. Brett Mangum DDS PC?
- J. Brett Mangum DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is J. Brett Mangum DDS PC located?
- J. Brett Mangum DDS PC's practice location on file with NPPES is 1767 Willow Creek Rd, Prescott, AZ 86301-1154.
- What is J. Brett Mangum DDS PC's phone number?
- The practice phone number listed in the NPPES registry for J. Brett Mangum DDS PC is (928) 778-4110.
- Who is the authorized official for J. Brett Mangum DDS PC?
- The authorized official listed on J. Brett Mangum DDS PC's NPPES record is Joseph Mangum, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J. Brett Mangum DDS PC's NPI active?
- Yes — J. Brett Mangum DDS PC's NPI (1558433524) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.