David Ray Mack in Bellevue - General Practice
David Ray Mack - NPI 1205944923
David Ray Mack is a General Practice in Bellevue, Nebraska. David Ray Mack practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Ray Mack is 1205944923. The last update date is 2007-07-08.
David Ray Mack's current location address is 11536 S 31st St, Bellevue, Nebraska. You can contact this provider via phone number 4022914468 and fax number 4029332014. The mailing address for David Ray Mack is 11536 S 31st St, Bellevue, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ray Mack |
|---|---|
| Address | 11536 S 31st St, Bellevue, Nebraska |
| Phone Number | 4022914468 |
| Fax Number | 4029332014 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205944923 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11536 S 31st St |
|---|---|
| City | Bellevue |
| State | Nebraska (NE) |
| Post Code | 681235529 |
| Phone Number | 4022914468 |
| Fax Number | 4029332014 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6375 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025213600 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Ray Mack by the Centers for Medicare & Medicaid Services?
The David Ray Mack has been issued the NPI (National Provider Identifier) 1205944923 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David Ray Mack is geographically located?
The David Ray Mack is physically situated at the following location: 11536 S 31St St, Bellevue, NE, 681235529.
What is David Ray Mack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Ray Mack is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205944923 to David Ray Mack?
The Centers for Medicare & Medicaid Services originally issued the 1205944923 to David Ray Mack on 2006-08-25.
As of what date were the details pertaining to David Ray Mack last refreshed?
The information related to the David Ray Mack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1932102142
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