DR. THOMAS PATRICK MACK (NPI# 1750422853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750422853 |
Entity Type | Individual |
Full Name | DR. THOMAS PATRICK MACK |
Credential | D.D.S. |
Practice Address |
63 Bay Tree Ln Los Altos CA 94022-4624 |
Practice Telephone | 6509416909 |
Practice Fax Number | 6509421839 |
Mailing Telephone | 6509416909 |
Mailing Fax Number | 6509421839 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
22246 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689644726 | Thomas C Mack | Chiropractor | 116 W Smith St, Corry, PA 16407-1558 | 2006-01-23 |
1548265689 | Thomas J Mack | Podiatrist | 6721 West 40th Street, Stickney, IL 60402-4171 | 2005-06-16 |
1881251783 | Thomas Criswell Mack | Psychologist | 421 E Market St, Iowa City, IA 52245-2628 | 2019-05-26 |
1508129362 | Thomas Mack | Social Worker | 528 N Main St, Providence, RI 02904-5757 | 2012-06-18 |
1386912129 | Thomas Mcculloch Mack | Internal Medicine | 1441 Eastlake Ave, Rm 4453, Los Angeles, CA 90089-0112 | 2011-12-08 |
1770897167 | Thomas Gerard Mack | Case Manager/Care Coordinator | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2010-07-28 |
1396817060 | Thomas A Mack | Optometrist | 7701 Frontage Rd, Suite A, Overland Park, KS 66204-2364 | 2006-11-15 |
1659474013 | Thomas Michael Mack | Dentist | 17215 N 72nd Dr, Ste A100, Glendale, AZ 85308 | 2006-09-07 |
1417987470 | Thomas Val Mack | General Practice | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2006-07-04 |
Street Address |
63 BAY TREE LN |
City | LOS ALTOS |
State | CA |
Zip Code | 94022-4624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992290779 | Christine Hur | Optometrist | 4906 El Camino Real Ste B, Los Altos, CA 94022 | 2018-06-25 |
1386181709 | Xin Xia | Acupuncturist | 900 N San Antonio Rd Ste 103, Los Altos, CA 94022 | 2017-01-23 |
1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
1952787475 | Tanya M. Gulevich | Marriage & Family Therapist | 146 Main St #215, Los Altos, CA 94022 | 2015-08-06 |
1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
1689096323 | Christine Stephanos | Pharmacist | 255 Second Street, Los Altos, CA 94022 | 2014-01-15 |
1316289044 | Isaac Ho | Student in an Organized Health Care Education/Training Program | 12696 La Cresta Drive, Los Altos Hills, CA 94022 | 2013-03-20 |
1144570698 | Julie Chayt Scott | Nutritionist | 395 Main Street, Los Altos, CA 94022 | 2012-09-12 |
1730454455 | Vincent Peter Zarcone Jr. | Psychiatry & Neurology | 227 Verano Dr, Los Altos, CA 94022 | 2012-03-13 |
1841561545 | Charles John Martell | Preventive Medicine | 19 Bay Tree Lane, Los Altos, CA 94022 | 2012-01-26 |
Find all providers in zip 94022 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. THOMAS PATRICK 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.