John M Mack is a Dentist in Brookfield, Wisconsin. John M Mack practices all healthcare services and medical treatments related to Dentist. The NPI Number for John M Mack is 1407812191. The last update date is 2007-07-08.
John M Mack's current location address is 14145 W Capitol, Brookfield, Wisconsin. You can contact this provider via phone number 2627815380. The mailing address for John M Mack is 14145 W Capitol, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | John M Mack |
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Address | 14145 W Capitol, Brookfield, Wisconsin |
Phone Number | 2627815380 |
Fax Number | |
Sole Proprietor | X |
Credentials | DDS |
NPI Number Detail
NPI Number | 1407812191 |
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Provider Enumeration Date | 2006-04-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 14145 W Capitol |
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City | Brookfield |
State | Wisconsin (WI) |
Post Code | 530052316 |
Phone Number | 2627815380 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 154001500 |
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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What is the unique 10-digit identification code assigned to John M Mack by the Centers for Medicare & Medicaid Services?
The John M Mack has been issued the NPI (National Provider Identifier) 1407812191, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John M Mack's facilities are situated?
The facilities of John M Mack are physically located at the following address: 14145 W Capitol, Brookfield, WI, 530052316.
What is John M Mack's area of expertise and its corresponding taxonomy classification?
The John M Mack's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the John M Mack receive the assignment of its 1407812191 from the Centers for Medicare & Medicaid Services?
The John M Mack was issued its 1407812191 by the Centers for Medicare & Medicaid Services on 2006-04-22.
When was the John M Mack's information last updated?
The John M Mack's information was last updated on 2007-07-08.
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