Kelli C. Mack, D.D.S.
General Practice Dentistry · Jbsa Lackland, TX
Practice location
1615 Truemper StJbsa Lackland, TX 78236-5511
- Phone
- (210) 539-7022
NPI record
- NPI
- 1679515696
- Entity type
- Individual (Type 1)
- Enumeration date
- June 12, 2006
- Last updated
- March 2, 2023
- Certified
- March 1, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
44021 | CA |
| Dentist | 122300000X |
44021 | CA |
| General Practice Dentistry | 1223G0001X |
21967 | TX |
Mailing address
1615 Truemper StLackland Afb, TX 78236-5511
- Phone
- (210) 539-7011
Other practice locations (1)
- 3551 Rodger Brooke Dr., San Antonio, TX 78219 · (210) 916-4141
About Dr. Mack
Kelli C. 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 1615 Truemper St, Jbsa Lackland, TX 78236-5511. The NPI number 1679515696 was assigned on June 12, 2006 and the record was last updated on March 2, 2023.
Dr. Mack lists 3 licenses in the registry: #44021 (CA) for General Practice Dentistry; #44021 (CA) for Dentist; #21967 (TX) 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 Kelli C. Mack, D.D.S.?
The NPI number is 1679515696.
What is the phone number of Dr. Mack?
The phone number listed for the practice location is (210) 539-7022.
Where is Dr. Mack located?
1615 Truemper St, Jbsa Lackland, TX 78236-5511.
What is the taxonomy code for Dr. Mack?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 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.
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