Matthew P. Mack, DDS

General Practice Dentistry · Newark, OH

Individual Active NPI

NPI number 1629289541

Practice location

1420 Dickerson St
Newark, OH 43055-1844
Phone
(740) 344-9155
Fax
(740) 344-5668

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NPI record

NPI
1629289541
Entity type
Individual (Type 1)
Enumeration date
May 24, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30021474 OH

Mailing address

13577 Church View Ct
Pickerington, OH 43147
Phone
(614) 834-4813

About Dr. Mack

Matthew P. Mack, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1420 Dickerson St, Newark, OH 43055-1844. The NPI number 1629289541 was assigned on May 24, 2007 and the record was last updated on July 8, 2007.

Dr. Mack lists a license in the registry: #30021474 (OH) 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 Matthew P. Mack, DDS?

The NPI number is 1629289541.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (740) 344-9155.

Where is Dr. Mack located?

1420 Dickerson St, Newark, OH 43055-1844.

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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