DR. MATTHEW P MACK (NPI# 1629289541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629289541 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW P MACK |
| Credential | DDS |
| Practice Address |
1420 Dickerson St Newark OH 43055-1844 |
| Mailing Address |
13577 Church View Ct Pickerington OH 43147 |
| Practice Telephone | 7403449155 |
| Practice Fax Number | 7403445668 |
| Mailing Telephone | 6148344813 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30021474 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205182094 | Matthew Miles Mack | Pharmacist | 3204 Peach Orchard Rd, Augusta, GA 30906-4862 | 2012-07-30 |
| 1770506958 | Matthew D Mack | General Practice | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2006-07-26 |
| Street Address |
1420 DICKERSON ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376948836 | Keith A Wing Dds & Matthew P Mack Christopher R Smith Dds Inc | Dentist | 1420 Dickerson St, Newark, OH 43055-1844 | 2014-10-27 |
| 1396920781 | Keith A Wing | Dentist | 1420 Dickerson St, Newark, OH 43055-1844 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1699390468 | Naima Mehek Javed | Dentist | 24 Jones St Apt 509, Newark, NJ 07103-3844 | 2020-06-08 |
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1437688421 | Mid Atlantic Dental Partners Delaware 1, Pa | Dentist | 330 Christiana Medical Ctr, Newark, DE 19702-1653 | 2017-06-05 |
| 1902340169 | Rajinder Hernandez | Dentist | 35111 Newark Blvd Ste A, Newark, CA 94560-1258 | 2016-12-07 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1598166688 | Gerald Au Dds Inc | Dentist | 35378 Lake Blvd, Newark, CA 94560-1360 | 2014-09-09 |
| 1093083156 | Marling Susana Espinosa | Dentist | 56 Ferguson St Apt E1, Newark, NJ 07105-2881 | 2011-12-05 |
| 1932481637 | Nachiket Dave | Dentist | 6258 Quicksilver Ave, Newark, CA 94560-5119 | 2011-09-19 |
| 1245538495 | Estella Guo | Dentist | 47 Boston Ct, Newark, NJ 07103-3445 | 2011-03-10 |
| 1891003596 | Edwin Simon Kuipers | Dentist | 210 W Park Pl, Newark, DE 19711-4519 | 2010-09-16 |
| Find all providers in NEWARK | ||||
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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.