DR. YVONNE MACK (NPI# 1740767276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740767276 |
| Entity Type | Individual |
| Full Name | DR. YVONNE MACK |
| Credential | DMD |
| Practice Address |
1011 W Little Creek Rd Ste A Norfolk VA 23505-2025 |
| Practice Telephone | 7574407955 |
| Mailing Telephone | 7574407955 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401416872 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0442000328 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0442000328 | VA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Broad Rock Blvd, Richmond, VA 232490001 | 8046755000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289752 | Yvonne Mack | Radiology | 182 Virginia St, Boone, NC 28607-5043 | 2006-03-22 |
| Street Address |
1011 W LITTLE CREEK RD STE A |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| 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 |
|---|---|---|---|---|
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1295226710 | Aspen Dental of Eastern Virginia Pllc | Dentist | 1087 N Military Hwy, Norfolk, VA 23502-0028 | 2018-05-21 |
| 1083126320 | Vernon E. O'berry, Jr. Dds | Dentist | 400 Gresham Dr Ste 708, Norfolk, VA 23507-1991 | 2017-10-26 |
| 1295116382 | Wyley Wondercheck | Dentist | 513 S. 13th St., Norfolk, NE 68701 | 2015-06-15 |
| 1457731945 | Shabtai Sapir | Dentist | 65 Holbrook St Ste 210, Norfolk, MA 02056-1850 | 2015-06-01 |
| 1275930596 | Asif Sharif | Dentist | 5900 E Va Beach Blvd Ste 70, Norfolk, VA 23502-2514 | 2014-12-02 |
| 1891103321 | Matthew E Simon | Dentist | 5801 Lowery Rd, 101, Norfolk, VA 23502-2213 | 2014-07-28 |
| 1386080109 | John Steve Kuvetakis | Dentist | 110 N 16th St Ste 12, Norfolk, NE 68701-3671 | 2013-05-20 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| Find all providers in NORFOLK | ||||
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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.