OrganizationActive
Richard Mangum DDS PC
NPI 1700952587 · Dentist · Prescott, AZ
Richard Mangum DDS PC is a Dentist organization in Prescott, AZ (NPI 1700952587).
Provider details
- NPI number
- 1700952587
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Richard Mangum, President(928) 778-4110
- License
- 1904 (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
- 2006-11-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Richard Mangum DDS PC's NPI number?
- Richard Mangum DDS PC's National Provider Identifier (NPI) is 1700952587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Richard Mangum DDS PC?
- Richard Mangum DDS PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Richard Mangum DDS PC located?
- Richard Mangum DDS PC's practice location on file with NPPES is 1767 Willow Creek Rd, Prescott, AZ 86301-1154.
- What is Richard Mangum DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Richard Mangum DDS PC is (928) 778-4110.
- Who is the authorized official for Richard Mangum DDS PC?
- The authorized official listed on Richard Mangum DDS PC's NPPES record is Richard Mangum, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Richard Mangum DDS PC's NPI active?
- Yes — Richard Mangum DDS PC's NPI (1700952587) 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.