# DR. MICHAEL JOSEPH MANGINO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609156777
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011881A | IN | — |
| 1223G0001X | General Practice Dentistry | 30023551 | OH | — |
| 1223G0001X | General Practice Dentistry | 9145 | KY | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 03/01/2016