DR. KIMBALL GRAY MACK DMD NPI 1659809200

NPI Information

NPI: 1659809200
Provider Name: DR. KIMBALL GRAY MACK, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1109 NORTHWEST HWY
GARLAND, TX
ZIP 75041
Phone: (214) 227-4863
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DR. Kimball Gray Mack, DMD is a general practice dentist in Garland, TX. The provider is 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. DR. Kimball Gray Mack, DMD NPI is 1659809200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1109 NORTHWEST HWY
GARLAND, TX
ZIP 75041-833
Phone: (214) 227-4863

The enumeration date for this NPI number is 5/26/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	32859	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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