Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003853425 Individual Practitioner Male Practitioner

Dr. Edwin W Mangram , DDS

Dentist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Mangram, DDS is a registered healthcare professional specializing in Dentist in Chicago, IL. Practice services are available at 3860 W OGDEN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3860 W Ogden Ave

Chicago, IL 606232460

Telephone 8725883000
Fax 8725883021
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1207 Specialists

Practicing in Chicago, IL (4751 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019-025445

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Joongyu Song , MD

Internal Medicine

NPI 1003376062

Doctor of Medicine (M.D.)

Anna Tornquist

Counselor - Professional

NPI 1003380817
NPI 1003618265
NPI 1003676321

Doctor of Osteopathic Medicine (D.O.)

NPI 1003825662

Doctor of Medicine (M.D.)

Lindsay Mccracken , PA-C

Physician Assistant

NPI 1003956640

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2012

Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: 8725883000)

📍
Updated Business Mailing Address November 16, 2012

Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: 8725883000)

👤
Provider Name / Credentials Updated November 16, 2012

Recorded as EDWIN MANGRAM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2012

Dentist (License #019-025445 in IL)

🟢
Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003853425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: November 16, 2012
Sole Proprietor: No

Mailing Address

3860 W Ogden Ave

Chicago, IL 606232460

Phone: 8725883000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.