Corey Mack, D.D.S.

General Practice Dentistry · Linn, MO

Individual Active NPI

NPI number 1962541995

Practice location

1217 East Main
Linn, MO 65051
Phone
(573) 897-2388
Fax
(573) 897-3816

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NPI record

NPI
1962541995
Entity type
Individual (Type 1)
Enumeration date
February 6, 2007
Last updated
November 29, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2006016427 MO
General Practice Dentistry 1223G0001X 13-2006 NM

Mailing address

PO Box 1219
1217 East Main St
Linn, MO 65051
Phone
(573) 897-2388
Fax
(573) 897-3816

About Dr. Mack

Corey 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 1217 East Main, Linn, MO 65051. The NPI number 1962541995 was assigned on February 6, 2007 and the record was last updated on November 29, 2023.

Dr. Mack lists 2 licenses in the registry: #2006016427 (MO) for General Practice Dentistry; #13-2006 (NM) 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 Corey Mack, D.D.S.?

The NPI number is 1962541995.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (573) 897-2388.

Where is Dr. Mack located?

1217 East Main, Linn, MO 65051.

What is the taxonomy code for Dr. Mack?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 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.

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