Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316424922 Individual Practitioner Male Practitioner

Dr. Philip James Mangiaracina , DMD

Dentist - General Practice • Saint John, IN

Professional Overview & Biography Verified Profile Summary

Dr. Philip Mangiaracina, DMD is a registered healthcare professional specializing in Dentist - General Practice in Saint John, IN. Practice services are available at 10033 WICKER AVE STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10033 Wicker Ave Ste 9

Saint John, IN 463738777

Telephone 2193659750
Associated Practice Facility / Clinic
🏢 Bdd Of Indiana P.c. Facility NPI 1538834064

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint John, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Saint John, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2023-10-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12013086A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1174617237

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 14, 2023

Registered at 10033 WICKER AVE STE 9, SAINT JOHN, IN 463738777 (Tel: 2193659750)

📍
Updated Business Mailing Address October 14, 2023

Registered at 10033 WICKER AVE STE 9, SAINT JOHN, IN 463738777 (Tel: 2193659750)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2023

Dentist (License #12013086A in IN)

📍
Updated Practice Location December 09, 2018

Registered at 1000 EASTON RD STE 315, WYNCOTE, PA 190952900 (Tel: 2159243747)

NPI Profile Active July 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2018

Registered at 301 E CITY AVE STE G5, BALA CYNWYD, PA 19004 (Tel: 6106609510)

📍
Updated Business Mailing Address July 31, 2018

Registered at 301 E CITY AVE STE G5, BALA CYNWYD, PA 190041707 (Tel: 6106609510)

👤
Provider Name / Credentials Updated July 31, 2018

Recorded as PHILIP MANGIARACINA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Dentist (License #DS041873 in PA)

🟢
Initial NPI Registration & Enumeration July 26, 2018

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: 1316424922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2018
Last Update: October 14, 2023
Sole Proprietor: No

Mailing Address

10033 Wicker Ave Ste 9

Saint John, IN 463738777

Phone: 2193659750

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.