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JACQUELINE NELSON-MANGATAL D.D.S.
NPI 1154446649
Dentist in St Petersburg, FL

Active since March 21, 2007
3011 CENTRAL AVE, ST PETERSBURG, FL 33713(786) 316-5044(727) 328-1971 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Nelson-mangatal D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE NELSON-MANGATAL D.D.S. (NPI 1154446649) is an individual dentist in St Petersburg, Florida, licensed in Florida (DN16582) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1154446649
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJACQUELINE NELSON-MANGATALCredential: D.D.S.
Location Address3011 CENTRAL AVESt Petersburg, FL 33713-8632
Mailing Address7085 Via LeonardoLake Worth, FL 33467-5236 · (786) 316-5044 · Fax (727) 328-1971
Phone(786) 316-5044
Fax(727) 328-1971
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1154446649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN16582
Definition
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.
3011 CENTRAL AVE, St Petersburg, FL 33713
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Other Identifiers 1

Medicaid075681400FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNLIMITED MANAGEMENT GROUP LLC
Dentist (General Practice)
3011 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1828
MIDTOWN DENTAL CENTER LLC
Dentist (General Practice)
3011 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Nelson-mangatal's NPI number?

The NPI number for Jacqueline Nelson-mangatal is 1154446649. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jacqueline Nelson-mangatal located?

Jacqueline Nelson-mangatal practices at 3011 Central Ave, St Petersburg, FL 33713. The listed phone number is (786) 316-5044.

What is Jacqueline Nelson-mangatal's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Nelson-mangatal was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.