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

Individual provider Dentist · NPI 1154446649

Jacqueline Nelson-Mangatal, DDS is a Dentist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

3011 Central Ave
St Petersburg, FL 33713-8632
Phone: (786) 316-5044
Fax: (727) 328-1971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16582 (FL)

Record details

NPI number1154446649
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 9, 2007

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