DR. Kelly Wade Mack, DDS is a general practice dentist in Longview, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kelly Wade Mack, DDS NPI is 1780702472. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2200 HORSESHOE LN
LONGVIEW, TX
ZIP 75605-648
Phone: (903) 753-3673
Fax: (903) 753-2637
The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/8/2007.