DR. HARRY RUSSELL MACK JR. (NPI# 1639263783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639263783 |
| Entity Type | Individual |
| Full Name | DR. HARRY RUSSELL MACK JR. |
| Credential | DDS,MD |
| Practice Address |
5802 Nolensville Pike Suite #103 Nashville TN 37211-6520 |
| Practice Telephone | 6158734495 |
| Practice Fax Number | 6158734436 |
| Mailing Telephone | 6158734495 |
| Mailing Fax Number | 6158734436 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4873 | TN | Dental Providers |
| Street Address |
5802 NOLENSVILLE PIKE SUITE #103 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37211-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679729016 | Harry R. Mack, Jr., D.d.s., M.d., LLC | Dentist | 5802 Nolensville Pike, Suite 103, Nashville, TN 37211-6520 | 2008-08-18 |
| 1629233176 | Jeremy D. Elliott D.m.d. | Dentist | 5802 Nolensville Pike, Suite 101, Nashville, TN 37211-6520 | 2008-07-24 |
| 1154401016 | Barry Walker Beck | Dentist | 5802 Nolensville Pike, Suite 202, Nashville, TN 37211-6520 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778566 | Results-ast Jv, LLC | Physical Therapist | 4909 Nolensville Road, Nashville, TN 37211 | 2020-10-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1114544046 | Empoweru Therapy, LLC | Physical Therapist | 6632 Sugar Valley Dr, Nashville, TN 37211 | 2020-06-26 |
| 1023654415 | Kharis Care LLC | Registered Nurse | 4013 Travis Drive Suite 210, Nashville, TN 37211 | 2019-11-21 |
| 1568932143 | Irena Tatom | Counselor | 404 Bna Dr. Suite 110, Nashville, TN 37211 | 2018-11-27 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1912406901 | Peace By Piece Aba Therapy & Behavioral Services | Behavioral Analyst | 410 Central Pike, Suite 306, Nashville, TN 37211 | 2018-02-06 |
| 1437661980 | Sara Sanfilippo Meehan | Nurse Practitioner | 397 Wallace Rd Ste 407, Nashville, TN 37211 | 2017-10-24 |
| 1215455571 | Royal Care Transportation | Non-emergency Medical Transport (VAN) | 600 Whispering Hills Dr, Apt# L12, Nashville, TN 37211 | 2017-09-06 |
| 1659800936 | Ashley Wheeler | Behavior Technician | 2404 Rollett Ct., Nashville, TN 37211 | 2017-06-08 |
| Find all providers in zip 37211 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1013200054 | Ryan Fitzgerald Thomas | Dentist | 5802 Nolensville Pike Ste 103, Nashville, TN 37211-6540 | 2011-05-24 |
| 1497084057 | Kendall M Sims | Dentist | 1829 Jo Johnston Ave, Nashville, TN 37203-2870 | 2009-12-10 |
| 1013100551 | Matthew Mizukawa | Dentist | 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-08-18 |
| 1770606014 | Cooper Oral & Maxillofacial Surgery, PC | Dentist | 207 Twenty Third Avenue North, Nashville, TN 37203-1501 | 2007-04-10 |
| 1447317953 | Robin Ricardo Daniel | Dentist | 1829 Jo Johnston Avenue, Nashville, TN 37203-2120 | 2007-01-03 |
| 1598830770 | Christian Clarence Bennerman | Dentist | 2653 Lakevilla Dr, Nashville, TN 37217-3836 | 2006-11-22 |
| 1477635324 | Oral & Facial Surgery Group PC | Dentist | 300 20th Ave N Ste 606, Nashville, TN 37203-5606 | 2006-10-19 |
| 1184734386 | Deji A Ogundiya | Dentist | 1801 Church St, Nashville, TN 37203-2201 | 2006-08-30 |
| Find all providers in NASHVILLE | ||||
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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.