DR. MICHAEL JOHN MACK (NPI# 1508952375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508952375 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN MACK |
| Credential | D.D.S. |
| Practice Address |
40 E. Putnam Ave. Cos Cob CT 06807 |
| Practice Telephone | 2036612279 |
| Practice Fax Number | 2038692261 |
| Mailing Telephone | 2036612279 |
| Mailing Fax Number | 2038692261 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
005247 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737589 | Michael George Mack | Chiropractor | 1327 Bay View Dr, Devils Lake, ND 58301-8629 | 2013-05-21 |
| 1710239876 | Michael Wesley Mack Jr. | Social Worker | 6605 Abercorn St Ste 101f, Savannah, GA 31405-5896 | 2012-10-12 |
| 1407138712 | Michael Mack | Registered Nurse | 5416 N Lawrence St, Philadelphia, PA 19120-2804 | 2011-09-13 |
| 1235298555 | Michael Edward Mack | Dentist | 7060 Spring Meadows W Dr, Suite B, Holland, OH 43528-8061 | 2006-12-06 |
| 1962995357 | Michael Mack | Case Manager/Care Coordinator | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2018-06-11 |
| 1902356710 | Michael Anthony Mack | Counselor | 600 Bernard St, Bakersfield, CA 93305-3020 | 2016-10-05 |
| 1114333796 | Michael Mack | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-03 |
| 1245484948 | Michael Mack | Marriage & Family Therapist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2008-11-07 |
| 1225216997 | Michael Dean Mack | Emergency Medicine | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 2008-02-05 |
| 1376531913 | Michael J. Mack | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 | 2005-10-07 |
| Street Address |
40 E. PUTNAM AVE. |
| City | COS COB |
| State | CT |
| Zip Code | 06807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999866 | Trevor M Flouty | Home Health Aide | 532 E Putnam Ave Ste 22, Cos Cob, CT 06807 | 2019-08-28 |
| 1780805036 | Richard A Greenberg | Dentist | 211 A East Putnam Avenue, Cos Cob, CT 06807 | 2007-05-02 |
| 1841312097 | Peter Harvey Maher | Specialist | 10 Hilton Heath, Cos Cob, CT 06807 | 2007-04-06 |
| 1174643530 | Maryellen Pachler Pachler Kennell | Nurse Practitioner | 399 East Putnam Ave., 2nd Floor Suite #1, Cos Cob, CT 06807 | 2007-03-30 |
| 1730249293 | Mary M Lennon | Counselor | 126 East Putnam Ave, 2nd Fl W, Cos Cob, CT 06807 | 2006-12-12 |
| 1366558454 | Kevin Allan Root | Counselor | 132 East Putnam Ave, Cos Cob, CT 06807 | 2006-08-22 |
| 1538666573 | Sean Sutton | Dentist | 391 E Putnam Ave, Cos Cob, CT 06807 | 2018-04-06 |
| 1306043062 | Jill V. Tesei | Counselor | 399 East Putnam Ave., 2nd Floor Suite 1, Cos Cob, CT 06807 | 2007-06-27 |
| 1902972649 | Tangley Canpbell Lloyd | Social Worker | 132 E Putnam Ave, Cos Cob, CT 06807 | 2006-11-27 |
| 1184795759 | Ellen N Wolfson | Internal Medicine | 35 River Road, Cos Cob, CT 06807 | 2006-11-13 |
| Find all providers in zip 06807 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265668362 | Masis Yeterian Jr. | Dentist | 211 E Putnam Ave, Suite 7, Cos Cob, CT 06807-2734 | 2009-06-03 |
| 1285857573 | Robert L. Ailleo | Dentist | 453 E Putnam Ave, Cos Cob, CT 06807-2524 | 2007-04-11 |
| 1740398007 | Stephen Jay Scott | Dentist | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2006-08-28 |
| 1538666573 | Sean Sutton | Dentist | 391 E Putnam Ave, Cos Cob, CT 06807 | 2018-04-06 |
| 1285874750 | Francis Shin, D.d.s., P.C. | Dentist | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2009-02-24 |
| 1093920803 | Kenneth Barry Temple | Dentist | 40 E Putnam Ave, Cos Cob, CT 06807-2613 | 2007-05-14 |
| 1760698286 | Ehud Oppenheimer | Dentist | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2007-05-14 |
| 1538210638 | Francis Shin | Dentist | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059378 | Kainat Naeem | Dentist | 70 Pease Ave, Southport, CT 06890-1110 | 2020-10-04 |
| 1306452479 | Robert James Wollschlager | Dentist | 495 Route 184 Ste 312, Groton, CT 06340-6230 | 2020-09-23 |
| 1699392134 | David Powers | Dentist | 2955 Main St Ste 400, Glastonbury, CT 06033-1028 | 2020-07-01 |
| 1730719279 | Bartley Dentistry | Dentist | 697 Poquonock Ave., Windsor, CT 06095-2259 | 2020-01-23 |
| 1295374296 | The Smile Studio At Bushnell Park | Dentist | 1 Gold St Ste Q, Hartford, CT 06103-2914 | 2019-12-23 |
| 1558904987 | Baybrook Dental | Dentist | 4 Ocean Ave # 2, West Haven, CT 06516-7048 | 2019-10-17 |
| 1083256226 | Connecticut Dental Professionals, P.C. | Dentist | 276 Oxford Rd Ste 2, Oxford, CT 06478-1956 | 2019-10-09 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1649827981 | Caitlin Rose Berwick | Dentist | 251 Long Ridge Rd, Stamford, CT 06902-1640 | 2019-08-21 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
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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.