Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mangrum Dental Corporation

Organization General Practice Dentistry · NPI 1275776684

Mangrum Dental Corporation is a General Practice Dentistry in Petaluma, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

1430 E Washington St
Petaluma, CA 94954-3631
Phone: (707) 762-0067
Fax: (707) 762-4782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 44612 (CA)

Record details

NPI number1275776684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Quackenbush — Office Manager · (707) 762-0067
Other names Petaluma Dental Group
NPI enumeratedApril 15, 2009
Last updated in NPPESApril 15, 2009
Mailing address1430 E Washington St, Petaluma, CA 94954-3631

Other providers in Petaluma