David Ray Mack

General Practice Dentistry · Bellevue, NE

Individual Active NPI

NPI number 1205944923

Practice location

11536 S 31st St
Bellevue, NE 68123-5529
Phone
(402) 291-4468
Fax
(402) 933-2014

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NPI record

NPI
1205944923
Entity type
Individual (Type 1)
Enumeration date
August 25, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6375 NE

About David Mack

David Ray Mack is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11536 S 31st St, Bellevue, NE 68123-5529. The NPI number 1205944923 was assigned on August 25, 2006 and the record was last updated on July 8, 2007.

David Mack lists a license in the registry: #6375 (NE) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Ray Mack?

The NPI number is 1205944923.

What is the phone number of David Mack?

The phone number listed for the practice location is (402) 291-4468.

Where is David Mack located?

11536 S 31st St, Bellevue, NE 68123-5529.

What is the taxonomy code for David Mack?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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