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

Richard Mangum DDS PC

Organization Dentist · NPI 1700952587

Richard Mangum DDS PC is a Dentist in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1767 Willow Creek Rd
Prescott, AZ 86301-1154
Phone: (928) 778-4110
Fax: (928) 778-4114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1904 (AZ)

Record details

NPI number1700952587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Mangum — President · (928) 778-4110
NPI enumeratedNovember 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1767 Willow Creek Rd, Prescott, AZ 86301-1154

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