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

Dr. Jacob Mangum, DDS

Individual provider Dentist · NPI 1508751454

Dr. Jacob Mangum, DDS is a Dentist in Ann Arbor, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-4000

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901602527 (MI)

Record details

NPI number1508751454
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address262 Longford Dr, Granville, OH 43023-9282

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