Simon Lucas Mack, D.D.S.
Dentist · Longview, TX
Practice location
3004 H.G. Mosley PkwyLongview, TX 75605
- Phone
- (903) 758-3444
- Fax
- (903) 758-1967
NPI record
- NPI
- 1639676166
- Entity type
- Individual (Type 1)
- Enumeration date
- April 11, 2018
- Last updated
- September 9, 2022
- Certified
- September 9, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
34781 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Dr. Mack
Simon Lucas Mack, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3004 H.G. Mosley Pkwy, Longview, TX 75605. The NPI number 1639676166 was assigned on April 11, 2018 and the record was last updated on September 9, 2022.
Dr. Mack lists a license in the registry: #34781 (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 Simon Lucas Mack, D.D.S.?
The NPI number is 1639676166.
What is the phone number of Dr. Mack?
The phone number listed for the practice location is (903) 758-3444.
Where is Dr. Mack located?
3004 H.G. Mosley Pkwy, Longview, TX 75605.
What is the taxonomy code for Dr. Mack?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
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.
Other Dentist providers in Longview
- James Andrew Mack, DDS3004 HG Mosley Pkwy
- Madison Mack, DDS3008 H G Mosley Pkwy
- Matthew Jordan Hughes, DDS2840 Bill Owens Pkwy Ste B
- Jared Jasicki3052 N Eastman Rd Ste 108
- Travis L. Kendall, DDS3665 Us Highway 259 N
- Rishank Reddy Korupolu, D.D.S.3052 N Eastman Rd
- Karen Frazer Rea, D.D.S.907 Walnut Hill Dr
- Jae Kyong Kim, DDS3080 N Eastman Rd Ste 104
- Pedro Angel Baez, D.M.D.1499 E. Marshall Ave
- Gary F Mapes DDS PA2800 Gilmer Rd
- Clark Allison Spencer, DDS MSD2904 North Fourth Street
- Monica Jain3010 H G Mosley Pkwy