KELLY A MANGRUM D.D.S.
NPI 1396992699
Dentist - General Practice in Cottonwood Heights, UT

Q: What is Kelly Mangrum's NPI number?

The NPI number for Kelly Mangrum is 1396992699. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Q: What is Kelly Mangrum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mangrum was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 19, 2008

7110 HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121(801) 943-6880(801) 943-4744 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Kelly A Mangrum D.d.s. NPPES

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

KELLY A MANGRUM D.D.S. (NPI 1396992699) is an individual general practice provider in Cottonwood Heights, Utah, licensed in Utah (2663) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1396992699

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKELLY A MANGRUMCredential: D.D.S.

Location Address7110 HIGHLAND DRCottonwood Heights, UT 84121-3704

Mailing Address7l110 South Highland DriveCottonwood Heights, UT 84121 · (801) 943-6880 · Fax (801) 943-4744

Phone(801) 943-6880

Fax(801) 943-4744

Sole ProprietorYes

Enumeration DateAugust 19, 2008

✔ NPI 1396992699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 2663

Definition

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.

7110 HIGHLAND DR, Cottonwood Heights, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kelly Mangrum's NPI number?

The NPI number for Kelly Mangrum is 1396992699. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Kelly Mangrum located?

Kelly Mangrum practices at 7110 Highland Dr, Cottonwood Heights, UT 84121. The listed phone number is (801) 943-6880.

What is Kelly Mangrum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Mangrum accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Delta Dental PPO and 6 other insurers list Kelly Mangrum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Mangrum was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.