Jared Wayne Mack in St George - Oral And Maxillofacial Surgery
Jared Wayne Mack - NPI 1306092663
Jared Wayne Mack is a Oral And Maxillofacial Surgery in St George, Utah. Jared Wayne Mack practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jared Wayne Mack is 1306092663. The last update date is 2023-01-16.
Jared Wayne Mack's current location address is 624 S 1000 E Ste 107, St George, Utah. You can contact this provider via phone number 4352896600 and fax number 4352896900. The mailing address for Jared Wayne Mack is 624 S 1000 E Ste 107, St George, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jared Wayne Mack |
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Address | 624 S 1000 E Ste 107, St George, Utah |
Phone Number | 4352896600 |
Fax Number | 4352896900 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1306092663 |
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Provider Enumeration Date | 2008-08-18 |
Last Updated Date | 2023-01-16 |
Provider Mailing Address Detail
Address | 624 S 1000 E Ste 107 |
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City | St George |
State | Utah (UT) |
Post Code | 847905902 |
Phone Number | 4352896600 |
Fax Number | 4352896900 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 57690 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jared Wayne Mack by the Centers for Medicare & Medicaid Services?
The Jared Wayne Mack has been issued the NPI (National Provider Identifier) 1306092663 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 Jared Wayne Mack is physically located?
The Jared Wayne Mack is physically situated at the following address: 624 S 1000 E Ste 107, St George, UT, 847905902.
What is Jared Wayne Mack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jared Wayne Mack's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When did the Jared Wayne Mack receive its 1306092663?
The Jared Wayne Mack was issued its 1306092663 on 2008-08-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Jared Wayne Mack's details last updated?
The information pertaining to the Jared Wayne Mack, including its address, specialty, and other details, was most recently updated on 2023-01-16.
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