Katelyn Mack, DMD

Dentist · Yukon, OK

Individual Active NPI

NPI number 1750764031

Practice location

4425 Grant Blvd. Custom Dental of Yukon
Yukon, OK 73099
Phone
(405) 494-4877
Fax
(405) 494-4184

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NPI record

NPI
1750764031
Entity type
Individual (Type 1)
Enumeration date
July 3, 2015
Last updated
October 2, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6738 OK

Mailing address

4425 Grant Blvd.
Yukon, OK 73099
Phone
(405) 494-4877
Fax
(405) 494-4184

About Dr. Mack

Katelyn Mack, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4425 Grant Blvd. Custom Dental of Yukon, Yukon, OK 73099. The NPI number 1750764031 was assigned on July 3, 2015 and the record was last updated on October 2, 2023.

Dr. Mack lists a license in the registry: #6738 (OK) 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 Katelyn Mack, DMD?

The NPI number is 1750764031.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (405) 494-4877.

Where is Dr. Mack located?

4425 Grant Blvd. Custom Dental of Yukon, Yukon, OK 73099.

What is the taxonomy code for Dr. Mack?

The primary taxonomy code is 122300000X – Dentist.

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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