MACK DENTAL


Address: 3008 H G Mosley Pkwy, Longview, TX 75605-2948
Phone: 9032364050

MACK DENTAL (NPI# 1942840004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942840004
Entity Type Organization
Organization Name MACK DENTAL
Practice Address 3008 H G Mosley Pkwy
Longview
TX 75605-2948
Practice Telephone 9032364050
Practice Fax Number 9037534426
Mailing Telephone 9032364050
Mailing Fax Number 9037534426
Enumeration Date 2020-01-07
Last Update Date 2020-01-07
Authorized Official Name TRICIA ADKISSON (BUSINESS MANAGER)
Authorized Official Telephone 9032364050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 3008 H G MOSLEY PKWY
City LONGVIEW
State TX
Zip Code 75605-2948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164977997 Madison Mack Dentist 3008 H G Mosley Pkwy, Longview, TX 75605-2948 2016-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
Find all providers in zip 75605

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750825394 Jd Troy Dds Pllc Clinic/Center 1118 Ocean Beach Hwy, Longview, WA 98632-4638 2016-12-16
1710312764 Smiles of Tomorrow Clinic/Center 4 Huntington Cir, Longview, TX 75601-3537 2013-09-10
1619590593 Tsd Kendall & Gengel Pllc Clinic/Center 444 Forest Sq Ste E, Longview, TX 75605-4463 2020-05-26
1043855703 Longview Family and Emergancy Dental Care Pllc Clinic/Center 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 2019-11-16
1598322463 Longview Family Dental II Clinic/Center 2901 Bill Owens Pkwy, Longview, TX 75605-1601 2019-05-25
1033628920 Mack and Hansen Orthodontics, Pllc Clinic/Center 1405 Judson Rd, Longview, TX 75601-3918 2017-09-24
1841641669 Kopemak Dental Specialists, Pllc Clinic/Center 444 Forest Sq, Suite A, Longview, TX 75605-4463 2016-06-22
1407244221 Dr. Julia Gourley Dmd PC Clinic/Center 2020 9th Ave Ste A, Longview, WA 98632-4072 2014-12-31
1770806275 Eid, Jaber, Jassar, Pllc Clinic/Center 1717 Olympia Way, Suite 108, Longview, WA 98632-3929 2010-03-11
1710127378 Brenda Copeland Dds Pa Clinic/Center 723 N 4th St, Longview, TX 75601-5412 2009-02-23
Find all providers in LONGVIEW

Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

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.

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