ELIZABETH MARIE MACKALL DDS MS NPI 1912409657

NPI Information

  • NPI: 1912409657
  • Provider Name: ELIZABETH MARIE MACKALL, DDS, MS
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2817 ROCK MERRITT AVE
    WOMACK ARMY MEDICAL CENTER
    FORT BRAGG, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

Elizabeth Marie Mackall, DDS, MS is an oral and maxillofacial pathology dentist in Fort Bragg, NC. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. Elizabeth Marie Mackall, DDS, MS NPI is 1912409657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2817 ROCK MERRITT AVE
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310-001
Phone: (910) 907-8922
Fax: (910) 907-6069

The NPI 1912409657 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/7/2018 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0106XDentistOral and Maxillofacial PathologyDN23937FLORIDAYes
2122300000XDentistDN23937FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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