| David R. Mack, Dds, Pc | |
|
11536 S 31st St Bellevue NE 68123-5529 | |
| (402) 291-4468 | |
| (402) 933-2014 |
| Full Name | David R. Mack, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 11536 S 31st St, Bellevue, Nebraska |
| Authorized Official Name and Position | David Ray Maick (OWNER) |
| Authorized Official Contact | 4022914468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Mack, Dds, Pc 11536 S 31st St Bellevue NE 68123-5529 Ph: (402) 291-4468 | David R. Mack, Dds, Pc 11536 S 31st St Bellevue NE 68123-5529 Ph: (402) 291-4468 |
| NPI Number | 1346502598 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346502598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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