ROBERT D MACK


Address: 1324 23rd St S, Fargo, ND 58103-3702
Phone: 7012375616

ROBERT D MACK (NPI# 1245465970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245465970
Entity Type Individual
Full Name ROBERT D MACK
Credential DDS
Practice Address 1324 23rd St S
Fargo
ND 58103-3702
Practice Telephone 7012375616
Practice Fax Number 7012718813
Mailing Telephone 7012375616
Mailing Fax Number 7012718813
Enumeration Date 2009-05-26
Last Update Date 2014-05-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D12682 MN Dental Providers

Other Providers ROBERT MACK

NPI Name Taxonomy Address Enumeration
1356985105 Robert Thomas Mack General Practice 1311 Westview Dr, Berkeley, CA 94705-1652 2019-11-05
1619018793 Robert Gary Mack II Contractor 2712 Edgewater Drive, Greenwood, AR 72936 2007-02-09
1932107778 Robert J S Mack Optometrist 1220 W Higgins Rd, Ste 102, Hoffman Estates, IL 60169-4033 2005-07-13
1811449861 Robert Mckensey Mack Social Worker 333 S Beaudry Ave, Los Angeles, CA 90017-1466 2016-10-25
1093820615 Robert Henry Mack Dentist 10 Washington St, Bloomfield, NJ 07003-3412 2006-08-21
1366406407 Robert P Mack Orthopaedic Surgery 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA 92270-3221 2006-04-14
1588665129 Robert Mack Radiology 5508 Summerhill Rd, Texarkana, TX 75503-1822 2005-08-04

Office Location

Street Address 1324 23RD ST S
City FARGO
State ND
Zip Code 58103-3702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770531907 Christina M Taylor Dentist 1324 23rd St S, Fargo, ND 58103-3702 2006-05-04
1477782902 Courtney M Gieseke Dentist 1324 23rd St S, Fargo, ND 58103-3702 2009-07-06
1538312947 Bruce K Hummel Dentist 1324 23rd St S, Suite 1a, Fargo, ND 58103-3702 2008-10-29
1730395435 Dahl & Mack Dental, PC Dentist 1324 23rd St S, Suite 1a, Fargo, ND 58103-3702 2007-05-16
1376756163 Smile Solutions, PC Clinic/Center 1324 23rd St S, Suite 2a, Fargo, ND 58103-3702 2007-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
Find all providers in zip 58103

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1124513668 Casey Alexander Mclachlan Dentist 1383 21st Ave N Ste B, Fargo, ND 58102-1841 2018-06-27
1033617238 Saving Smiles Denistry Dentist 3210 18th St S Ste B, Fargo, ND 58104-6789 2018-01-23
1790297430 Northern Lights Dental Dentist 4150 19th Ave S, Suite 301, Fargo, ND 58104 2017-11-03
1023469723 Stacey Nygaard Dentist 3170 44th St S Unit 100, Fargo, ND 58104-8596 2016-06-24
1114308285 Advanced Dental Technologies Center Dentist 827 28th St S Ste A, Fargo, ND 58103-8727 2015-06-15
1740660059 Krista Johnson Dentist 1650 45th St S, Ste 108, Fargo, ND 58103-3246 2015-06-02
1073860128 Stacy L Seaborn Dentist 1324 - 23rd St. S, Ste 1a, Fargo, ND 58103-3702 2012-08-08
1649560392 Lucas Sandman Dentist 2217 University Dr N, Fargo, ND 58102-1817 2011-04-14
1598076119 Bethany L. Baillargeon Marx Dentist 3170 44th Street South, Suite 100, Fargo, ND 58104 2010-06-29
Find all providers in FARGO

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City FARGO
Zip Code 58103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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