KERVIN MACK DMD MS PLLC (NPI# 1356688857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356688857 |
| Entity Type | Organization |
| Organization Name | KERVIN MACK DMD MS PLLC |
| Practice Address |
1628 Memorial Dr Ste C Burlington NC 27215-3596 |
| Practice Telephone | 3362275594 |
| Mailing Telephone | 3362275594 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Authorized Official Name | DR. KERVIN MACK (OWNER) |
| Authorized Official Telephone | 3362275594 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8824 | NC | Dental Providers |
| Street Address |
1628 MEMORIAL DR STE C |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-3596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 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 Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382992 | Noble Orthodontics, LLC | Dentist | 109 N Dodge St, Burlington, WI 53105-1918 | 2019-08-19 |
| 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 |
| 1316237290 | Kervin Brandon Mack | Dentist | 1628 Memorial Dr, #c, Burlington, NC 27215-3592 | 2011-04-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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| 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.