| Kervin Mack Dmd Ms Pllc | |
|
1628 Memorial Dr Ste C Burlington NC 27215-3596 | |
| (336) 227-5594 | |
| Not Available |
| Full Name | Kervin Mack Dmd Ms Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1628 Memorial Dr Ste C, Burlington, North Carolina |
| Authorized Official Name and Position | Kervin Mack (OWNER) |
| Authorized Official Contact | 3362275594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kervin Mack Dmd Ms Pllc 1628 Memorial Dr Ste C Burlington NC 27215-3596 Ph: (336) 227-5594 | Kervin Mack Dmd Ms Pllc 1628 Memorial Dr Ste C Burlington NC 27215-3596 Ph: (336) 227-5594 |
| NPI Number | 1356688857 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356688857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8824 (North Carolina) | Primary |
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Nazir Ahmad Dds Iii, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 S Church St, Burlington, NC 27215 Phone: 919-322-4500 Fax: 919-882-8545 | |
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