Madison Mack, DDS
Dentist · Longview, TX
Practice location
3008 H G Mosley PkwyLongview, TX 75605-2948
- Phone
- (903) 236-4050
- Fax
- (903) 753-4426
NPI record
- NPI
- 1164977997
- Entity type
- Individual (Type 1)
- Enumeration date
- August 22, 2016
- Last updated
- August 22, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
32168 | TX |
About Dr. Mack
Madison Mack, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3008 H G Mosley Pkwy, Longview, TX 75605-2948. The NPI number 1164977997 was assigned on August 22, 2016 and the record was last updated on August 22, 2016.
Dr. Mack lists a license in the registry: #32168 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Madison Mack, DDS?
The NPI number is 1164977997.
What is the phone number of Dr. Mack?
The phone number listed for the practice location is (903) 236-4050.
Where is Dr. Mack located?
3008 H G Mosley Pkwy, Longview, TX 75605-2948.
What is the taxonomy code for Dr. Mack?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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