Thomas Patrick Mack in Los Altos - Endodontics
Thomas Patrick Mack - NPI 1750422853
Thomas Patrick Mack is a Endodontics in Los Altos, California. Thomas Patrick Mack practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Thomas Patrick Mack is 1750422853. The last update date is 2007-07-08.
Thomas Patrick Mack's current location address is 63 Bay Tree Ln, Los Altos, California. You can contact this provider via phone number 6509416909 and fax number 6509421839. The mailing address for Thomas Patrick Mack is 63 Bay Tree Ln, Los Altos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Patrick Mack |
|---|---|
| Address | 63 Bay Tree Ln, Los Altos, California |
| Phone Number | 6509416909 |
| Fax Number | 6509421839 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750422853 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 63 Bay Tree Ln |
|---|---|
| City | Los Altos |
| State | California (CA) |
| Post Code | 940224624 |
| Phone Number | 6509416909 |
| Fax Number | 6509421839 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 22246 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Thomas Patrick Mack by the Centers for Medicare & Medicaid Services?
The Thomas Patrick Mack has been issued the NPI (National Provider Identifier) 1750422853, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Thomas Patrick Mack's facilities are geographically located?
The facilities of Thomas Patrick Mack are physically situated at the following location: 63 Bay Tree Ln, Los Altos, CA, 940224624.
What is the Thomas Patrick Mack's specialty and taxonomy code?
The Thomas Patrick Mack's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750422853 to Thomas Patrick Mack?
The Centers for Medicare & Medicaid Services assigned the 1750422853 to Thomas Patrick Mack on 2007-02-09.
When was the information pertaining to Thomas Patrick Mack most recently updated or revised?
The details related to Thomas Patrick Mack, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.