Kelly Anne Mack, RD4
Dental Hygienist · Wheaton, IL
Practice location
55 E Loop RdGrove Dental Assoc Suite 201
Wheaton, IL 60187
- Phone
- (630) 653-8899
NPI record
- NPI
- 1245308899
- Entity type
- Individual (Type 1)
- Enumeration date
- December 1, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Hygienist Primary | 124Q00000X |
— | IL |
Mailing address
621 Glacier TrailRoselle, IL 60172
- Phone
- (630) 980-0992
About Kelly Mack
Kelly Anne Mack, RD4 is a healthcare provider registered in the NPI registry with the primary taxonomy Dental Hygienist (code 124Q00000X). The practice location is 55 E Loop Rd, Grove Dental Assoc Suite 201, Wheaton, IL 60187. The NPI number 1245308899 was assigned on December 1, 2006 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Kelly Anne Mack, RD4?
The NPI number is 1245308899.
What is the phone number of Kelly Mack?
The phone number listed for the practice location is (630) 653-8899.
Where is Kelly Mack located?
55 E Loop Rd, Grove Dental Assoc Suite 201, Wheaton, IL 60187.
What is the taxonomy code for Kelly Mack?
The primary taxonomy code is 124Q00000X – Dental Hygienist.
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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- Jeanette Alison Balis, RDH55 E Loop Rd
- Emily Ann Barenbrugge, RDH55 East Loop Road
- Maureen E. Quirk, RDH55 E Loop Rd