Matthew P Mack is a General Practice in Newark, Ohio. Matthew P Mack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew P Mack is 1629289541. The last update date is 2007-07-08.
Matthew P Mack's current location address is 1420 Dickerson St, Newark, Ohio. You can contact this provider via phone number 7403449155 and fax number 7403445668. The mailing address for Matthew P Mack is 1420 Dickerson St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew P Mack |
|---|---|
| Address | 1420 Dickerson St, Newark, Ohio |
| Phone Number | 7403449155 |
| Fax Number | 7403445668 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629289541 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1420 Dickerson St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430551844 |
| Phone Number | 7403449155 |
| Fax Number | 7403445668 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30021474 |
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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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What is the unique 10-digit identifier code assigned to Matthew P Mack by the Centers for Medicare & Medicaid Services?
The Matthew P Mack has been issued the NPI (National Provider Identifier) 1629289541 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Matthew P Mack is physically located?
The Matthew P Mack is physically situated at the following address: 1420 Dickerson St, Newark, OH, 430551844.
What is the Matthew P Mack's area of specialization and corresponding taxonomy classification?
The Matthew P Mack's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Matthew P Mack receive its 1629289541 assignment from the Centers for Medicare & Medicaid Services?
The Matthew P Mack was assigned its 1629289541 by the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date were the Matthew P Mack's details last updated?
The information pertaining to the Matthew P Mack, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1063415297
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