DR. PATRICIA MACK (NPI# 1588749790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588749790 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA MACK |
| Credential | DDS |
| Practice Address |
25882 Orchard Lake Rd Ste 105 Farmington Hills MI 48336-1294 |
| Mailing Address |
20468 Gary Ln Livonia MI 48152-1184 |
| Practice Telephone | 2484426600 |
| Practice Fax Number | 2485640946 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901014106 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4665122 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245504 | Patricia Rose Mack | Homemaker | 8259 State Route 88, Ravenna, OH 44266-9158 | 2020-11-04 |
| 1104257591 | Patricia G. Mack | Marriage & Family Therapist | 330 E 11th Ave, Escondido, CA 92025-5142 | 2013-12-10 |
| 1316223332 | Patricia Renae Mack | Nurse Practitioner | 5841 S Maryland Ave # Mc3051, Chicago, IL 60637 | 2011-10-24 |
| 1699006270 | Patricia Mack | Marriage & Family Therapist | 1618 Wilmette St, Wheaton, IL 60187-3378 | 2010-01-21 |
| 1144317223 | Patricia Fogarty Mack | Anesthesiology | 525 E 68th St, New York, NY 10021-4870 | 2006-10-09 |
| 1598749996 | Patricia Louise Mack | Physical Therapist | 505 E 3rd Ave, Spokane, WA 99202-1426 | 2005-11-30 |
| Street Address |
25882 ORCHARD LAKE RD STE 105 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-1294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013099712 | Lawrence Larou | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-10-20 |
| 1780711275 | Stephen Conrad | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2007-02-28 |
| 1699818328 | Sabina Bhatti | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2007-02-14 |
| 1881742310 | Alan Harrison | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2007-01-08 |
| 1720135585 | Robin Lawrence | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2007-01-04 |
| 1538236799 | Fakhruddin Khambati | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-11-30 |
| 1710059662 | Bill Stringer | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-11-15 |
| 1609946284 | Nilam Chauhan | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-11-09 |
| 1558431551 | Lanny Beekman | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-11-08 |
| 1801966171 | Cindy Bauer | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334102 | Margaret Gordinier | Dentist | 31487 Northwestern Hwy Ste B, Farmington Hills, MI 48334-5415 | 2020-07-26 |
| 1558970897 | Nicholas Joseph Barone | Dentist | 31300 Ludden St Ste A, Farmington Hills, MI 48334-1401 | 2020-07-22 |
| 1730626334 | Enamel Dental Studio | Dentist | 31396 Northwestern Hwy, Farmington Hills, MI 48334-2534 | 2017-01-21 |
| 1932643111 | Desai Dental Spa, PC | Dentist | 28535 Orchard Lake Rd, Suite # 400, Farmington Hills, MI 48334-2940 | 2016-12-07 |
| 1194176065 | Aida Maratovna Rosenthal | Dentist | 29402 Laurel Dr, Farmington Hills, MI 48331-2828 | 2016-06-22 |
| 1891157053 | Nahla Wadie Dds | Dentist | 31487 Northwesteren Hwy, Farmington Hills, MI 48334 | 2016-03-25 |
| 1700243144 | William Stutman Dds PC | Dentist | 31800 Northwestern Hwy Ste 380, Farmington Hills, MI 48334-1604 | 2016-01-15 |
| 1326411042 | Stephen R Harris Dds, PC | Dentist | 34024 W 8 Mile Rd Ste 106, Farmington Hills, MI 48335-5209 | 2015-11-03 |
| 1982087953 | Sabah Lillian Gagnon | Dentist | 31700 W 12 Mile Rd Ste 103, Farmington Hills, MI 48334-4460 | 2015-07-08 |
| 1982086096 | Orchard Dental Group PC | Dentist | 28124 Orchard Lake Rd Ste 100, Farmington Hills, MI 48334-3760 | 2015-06-25 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
Please comment or provide details below to improve the information on DR. PATRICIA MACK.
| 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.