DR. KERVIN BRANDON MACK


Address: 1628 Memorial Dr, #c, Burlington, NC 27215-3592
Phone: 3362275594

DR. KERVIN BRANDON MACK (NPI# 1316237290) 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) 1316237290
Entity Type Individual
Full Name DR. KERVIN BRANDON MACK
Credential PHARM.D., D.M.D.
Practice Address 1628 Memorial Dr
#c
Burlington
NC 27215-3592
Practice Telephone 3362275594
Mailing Telephone 3362275594
Enumeration Date 2011-04-13
Last Update Date 2012-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
8824 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 5918330 05

Office Location

Street Address 1628 MEMORIAL DR
#C
City BURLINGTON
State NC
Zip Code 27215-3592

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659393098 Michael John Touloupas Dentist 1628 Memorial Dr, Burlington, NC 27215-3592 2006-07-24
1356418644 Michael Mckee Dentist 1628 Memorial Dr, Burlington, NC 27215-3592 2006-11-29
1447329339 Cynthia Kane Touloupas Dentist 1628 Memorial Dr, Burlington, NC 27215-3592 2006-11-07
1184793994 Drs. Touloupas&touloupas,dds,pa Dentist 1628 Memorial Dr, Burlington, NC 27215-3592 2006-11-07

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1336797331 Kelly Elizabeth Fleming Preventive Medicine Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 2019-09-03
1861911968 Michael Frey Pharmacist 2344 South Church St, Burlington, NC 27215 2017-09-11
1174043822 Comfort Medical Supply LLC Durable Medical Equipment & Medical Supplies 1244 Plaza Dr, Burlington, NC 27215 2017-06-23
1811417561 Burlington Medical Supply LLC Durable Medical Equipment & Medical Supplies 1244 Plaza Drive, Burlington, NC 27215 2017-06-23
1912459132 Herb Mccandless Jr. Non-emergency Medical Transport (VAN) 4412 Dogwood Rd, Burlington, NC 27215 2016-11-04
1023479623 Alpha Diagnostics, LLC Clinical Medical Laboratory 3015 South Church St, Burlington, NC 27215 2016-03-10
1669720819 Lucy Wessinger Menefee Registered Nurse Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 2012-08-20
1154685402 Sheryl Harper Social Worker 2815 North Church Street, Burlington, NC 27215 2012-07-02
Find all providers in zip 27215

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295382992 Noble Orthodontics, LLC Dentist 109 N Dodge St, Burlington, WI 53105-1918 2019-08-19
1356688857 Kervin Mack Dmd Ms Pllc Dentist 1628 Memorial Dr Ste C, Burlington, NC 27215-3596 2013-01-03
1821367004 Marjan Askari Dentist 40 Sandy Brook Rd, Burlington, MA 01803-3931 2011-12-19
1760530083 Robert Murray Dentist 1 Fountain Ave, Burlington, NJ 08016-3301 2007-01-05
1699843243 Benjamin Franklin Lowe Jr. Dentist 1700 Westbrook Ave, Burlington, NC 27215-8721 2006-12-01
1023192648 Dara Chira, Dmd Dentist 1073 North Ave, Burlington, VT 05401-2709 2006-10-24
1073614087 James Reichert Hugg Dentist 700 N 3rd St Ste 3, Burlington, IA 52601-5043 2006-09-25
1578551883 Arthur Fertman, D.d.s., P.C. Dentist 173 Cambridge St, Burlington, MA 01803-2994 2005-10-11
1780284612 Roberts Hoina & Associates Pllc Dentist 1135 N Church St, Burlington, NC 27217-2701 2020-10-29
1720451156 Daniela Toro D.m.d., P.C. Dba Burlington Orthodontics Dentist 173 Cambridge St, Burlington, MA 01803-2994 2015-11-06
Find all providers in BURLINGTON

Competitor

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City BURLINGTON
Zip Code 27215

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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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