Provider Demographics
NPI:1316683923
Name:GARY C MANGIERI DMD PLLC
Entity type:Organization
Organization Name:GARY C MANGIERI DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MANGIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-480-8317
Mailing Address - Street 1:800 PERRY HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1116
Mailing Address - Country:US
Mailing Address - Phone:412-366-0668
Mailing Address - Fax:
Practice Address - Street 1:800 PERRY HWY STE 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1116
Practice Address - Country:US
Practice Address - Phone:412-366-0668
Practice Address - Fax:412-366-5057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental