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Mangrum Dental Corporation

General Practice Dentistry in Petaluma, CA · enumerated 2009 · authorized official Debra Quackenbush, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275776684

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Registry record

Entity type Organization (Type 2)
Legal business name Mangrum Dental Corporation
Other name <Unavail>
Practice address 1430 E Washington St, Petaluma, CA, 94954
Phone (707) 762-0067
Fax (707) 762-4782
Enumeration date Apr 15, 2009
Last updated in NPPES Apr 15, 2009

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 44612 (CA) Primary

Authorized official

Name Debra Quackenbush
Title Office Manager
Phone (707) 762-0067

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mangrum Dental Corporation?
The NPI for Mangrum Dental Corporation is 1275776684, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mangrum Dental Corporation?
NPPES lists Debra Quackenbush (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-15.