Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255332391 Individual Practitioner Male Practitioner

Dr. Kenneth Mangano , DDS

Dentist - Endodontics • Pasadena, MD

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mangano, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Pasadena, MD. Practice services are available at 8025 RITCHIE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8025 Ritchie Hwy
Suite 204

Pasadena, MD 211221031

Telephone 4107663453
Fax 4107663454
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Pasadena, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Pasadena, MD (174 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

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MD 12584

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1003077397

Master of Arts

Dr. Thomas Levickas , DDS

Dentist - General Practice

NPI 1104918358

Doctor of Dental Surgery

Dr. Karen Mygil , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1285779785

Doctor of Dental Surgery

Charles Payne , BC-HIS, ACA

Hearing Instrument Specialist

NPI 1396887600

BCHIS, ACA

Elizabeth Popovich-Scott

Hearing Instrument Specialist

NPI 1598929697

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8025 RITCHIE HWY, SUITE 204, PASADENA, MD 211221031 (Tel: 4107663453)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8025 RITCHIE HWY, SUITE 204, PASADENA, MD 211221031 (Tel: 4107663453)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH MANGANO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12584 in MD)

🟢
Initial NPI Registration & Enumeration August 10, 2005

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: 1255332391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

8025 Ritchie Hwy, Suite 204

Pasadena, MD 211221031

Phone: 4107663453

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.