Michael John Mack, D.D.S.

General Practice Dentistry · Cos Cob, CT

Individual Active NPI

NPI number 1508952375

Practice location

40 E. Putnam Ave.
Cos Cob, CT 06807
Phone
(203) 661-2279
Fax
(203) 869-2261

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NPI record

NPI
1508952375
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 005247 CT

About Dr. Mack

Michael John Mack, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 40 E. Putnam Ave., Cos Cob, CT 06807. The NPI number 1508952375 was assigned on October 5, 2006 and the record was last updated on July 8, 2007.

Dr. Mack lists a license in the registry: #005247 (CT) 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 Michael John Mack, D.D.S.?

The NPI number is 1508952375.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (203) 661-2279.

Where is Dr. Mack located?

40 E. Putnam Ave., Cos Cob, CT 06807.

What is the taxonomy code for Dr. 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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