IndividualActive
Parth Mangrola, DMD
NPI 1912528548 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1912528548
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.031236 (IL)
Mailing address
9727 Keeler Ave
Skokie, IL 60076-1129
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2020-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.