Corey Mack, DDS is a
Dentist - General Practice based in Linn, Missouri. Corey Mack is licensed to practice in Missouri (license number 2006016427) and her current practice location is
1217 East Main, Linn, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 897-2388.
NPI number for Corey Mack is 1962541995 and her current mailing address is Po Box 1219, 1217 East Main St, Linn, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962541995.
Healthcare Provider's Profile
Full Name | Corey Mack |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 1217 East Main, Linn, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962541995
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 11/29/2023
Medical Identifiers
Medical identifiers for Corey Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962541995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 13-2006 (New Mexico) | Secondary |
1223G0001X | Dentist - General Practice | 2006016427 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Corey Mack, DDS Po Box 1219, 1217 East Main St, Linn, MO 65051 Ph: (573) 897-2388 | Corey Mack, DDS 1217 East Main, Linn, MO 65051 Ph: (573) 897-2388 |
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