Jacqueline Nelson-mangatal is a St Petersburg, Florida based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jacqueline Nelson-mangatal is
DN16582 for Dentistry in Florida. Her current practice location is
3011 Central Ave, St Petersburg. Patients can reach her at
786-316-5044.
Jacqueline Nelson-mangatal is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jacqueline Nelson-mangatal speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jacqueline Nelson-mangatal |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3011 Central Ave, St Petersburg,
Florida, 33713-8632 |
| Phone: | 786-316-5044 |
| Fax: | 727-328-1971 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1154446649 |
| NPI Enumeration Date: | 21 Mar, 2007 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Nelson-mangatal are as mentioned below.
| License Number | Specialization | State | Status | |
| DN16582 | Dentistry | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacqueline Nelson-mangatal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 075681400 | Medicaid | Florida | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7085 Via Leonardo,
Lake Worth, Florida |
| Zip: | 33467-5236 |
| Phone Number: | 786-316-5044 |
| Fax Number: | 727-328-1971 |
Patients can reach Jacqueline Nelson-mangatal at
3011 Central Ave, St Petersburg, Florida or can
call to book an appointment on 786-316-5044.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.