MEDICARE: MANGAL CHANDARANA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D7810	AZ

General Provider Information

NPI Number	:	1619109311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANGAL CHANDARANA DMD

Provider Business Mailing Address
First Line	:	2229 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2448
Country	:	US
Telephone Number	:	602-275-2020
Fax Number	:	602-275-0521

Provider Business Practice Location Address
First Line	:	2229 E. MC DOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006
Country	:	US
Telephone Number	:	602-275-2020
Fax Number	:	602-275-0521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	08/13/2009

Similar Medicare Providers

1770420036 — JOSHUA STEPHEN MIDTHUN MD
Practice Location Address:

1300 N 12TH ST STE 508
PHOENIX, AZ
85006-2849

Practice Phone: 602-839-3927
Practice Fax:

1548107816 — WYATT SAMUEL KOOLMEES MD
Practice Location Address:

1300 N 12TH ST STE 508
PHOENIX, AZ
85006-2849

Practice Phone: 602-839-3927
Practice Fax:

1598217002 — MICHAEL ANG
Practice Location Address:

1441 N 12TH ST FL 3
PHOENIX, AZ
85006-2837

Practice Phone: 602-521-5977
Practice Fax:

1326834755 — DR. BRIJ KATHURIA MD
Practice Location Address:

1441 N 12TH ST FL 2
PHOENIX, AZ
85006-2837

Practice Phone: 602-521-5969
Practice Fax:

1003757287 — HUGH ALESSI MD
Practice Location Address:

1300 N 12TH ST STE 508
PHOENIX, AZ
85006-2849

Practice Phone: 602-839-3927
Practice Fax:

1104753169 — ASHLEY PONCE MD
Practice Location Address:

1300 N 12TH ST STE 508
PHOENIX, AZ
85006-2849

Practice Phone: 602-839-3927
Practice Fax:

1619804689 — VARSHINI METHUKU
Practice Location Address:

1300 N 12TH ST STE 508
PHOENIX, AZ
85006-2849

Practice Phone: 602-839-3927
Practice Fax:

Directions to “ MANGAL CHANDARANA DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.