KENNETH MANGANO D.D.S. – NPI #1255332391
Dentist

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

KENNETH MANGANO is a dentist located in PASADENA, MD. NPPES has assigned the NPI number 1255332391 to KENNETH MANGANO on August 10, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1223E0200X from the Health Care Provider Taxonomy code set, which is classified as Dentist, specializing in Endodontics

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH MANGANO below.

NPI Profile for
KENNETH MANGANO

NPI Number
1255332391
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH MANGANO
Credentials
D.D.S.
Primary location
8025 RITCHIE HWY
SUITE 204
PASADENA, MD 21122-1031
Phone: (410) 766-3453 Fax: (410) 766-3454
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1223E0200X
- Dentist / Endodontics (Primary)
MD 12584

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.