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MACK FAMILY DENTAL PC NPI 1912678608


NPI Information

NPI: 1912678608
Provider Name: MACK FAMILY DENTAL PC

Doing Business As: COMFORT DENTAL ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
15250 E. ORCHARD RD.
CENTENNIAL, CO
ZIP 80016
Phone: (303) 690-5037
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MACK FAMILY DENTAL PC is an oral and maxillofacial surgery dentist in Centennial, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MACK FAMILY DENTAL PC NPI is 1912678608. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comfort Dental Oral Surgery.

The provider's business location address is:

15250 E. ORCHARD RD.
CENTENNIAL, CO
ZIP 80016
Phone: (303) 690-5037
Fax: (720) 640-0550

The provider's authorized official is Eric L Mack .
The authorized official title is Owner and has the following contact phone number (303) 690-5037.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 9/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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: 4/28/2024

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