James Andrew Mack is a Dentist in Longview, Texas. James Andrew Mack practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Andrew Mack is 1073606281. The last update date is 2021-06-14.
James Andrew Mack's current location address is 3004 Hg Mosley Pkwy, Longview, Texas. You can contact this provider via phone number 9037583444 and fax number 9037581967. The mailing address for James Andrew Mack is 3004 Hg Mosley Pkwy, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Andrew Mack |
|---|---|
| Address | 3004 Hg Mosley Pkwy, Longview, Texas |
| Phone Number | 9037583444 |
| Fax Number | 9037581967 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073606281 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2021-06-14 |
Provider Mailing Address Detail
| Address | 3004 Hg Mosley Pkwy |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756052948 |
| Phone Number | 9037583444 |
| Fax Number | 9037581967 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14659 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130585604 | TX | -- | |
| 89T822 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the James Andrew Mack's 1073606281?
The James Andrew Mack's NPI (National Provider Identifier) Number is 1073606281. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Andrew Mack?
The James Andrew Mack is situated at 3004 Hg Mosley Pkwy, in the city of Longview, state of TX, with the zip code 756052948.
What is James Andrew Mack's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Andrew Mack's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did James Andrew Mack receive its 1073606281 assignment?
The James Andrew Mack was assigned its 1073606281 on 2006-10-02, which is the date when this unique identifier was issued to the organization.
When was the James Andrew Mack's information last updated?
The James Andrew Mack's information was last updated on 2021-06-14.
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