Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619454287 Individual Practitioner Male Practitioner

Caleb Mangum

Dentist - General Practice • Frisco, TX

Professional Overview & Biography Verified Profile Summary

Caleb Mangum is a registered healthcare professional specializing in Dentist - General Practice in Frisco, TX. Practice services are available at 4685 ELDORADO PKWY STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4685 Eldorado Pkwy Ste 200

Frisco, TX 750330290

Telephone 2146185450
Associated Practice Facility / Clinic
🏢 Jerit Davis Dental Practice Facility NPI 1073741070

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Frisco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
100 Specialists

Practicing in Frisco, TX (10570 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 34039

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

2 Associated Practitioners
Dr. Mark Jones , DDS

Dentist - General Practice

NPI 1427296466

Doctor of Dental Surgery

Dr. David Nguyen , DDS

Dentist - Dental Public Health

NPI 1518306877

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2018

Registered at 4685 ELDORADO PKWY STE 200, FRISCO, TX 750330290 (Tel: 2146185450)

📍
Updated Business Mailing Address July 25, 2018

Registered at 17712 RIVER CHASE DR, DALLAS, TX 752876265 (Tel: 5053014473)

👤
Provider Name / Credentials Updated July 25, 2018

Recorded as CALEB MANGUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Dentist (License #34039 in TX)

🟢
Initial NPI Registration & Enumeration July 25, 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: 1619454287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2018
Last Update: July 25, 2018
Sole Proprietor: No

Mailing Address

17712 River Chase Dr

Dallas, TX 752876265

Phone: 5053014473

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.