Dr Kelli C Mack, DDS - Dentist in Jbsa Lackland, TX

Dr Kelli C Mack, DDS is a Dentist - General Practice based in Jbsa Lackland, Texas. Dr Kelli C Mack is licensed to practice in California (license number 44021) and her current practice location is 1615 Truemper St, Jbsa Lackland, Texas. She can be reached at her office (for appointments etc.) via phone at (210) 539-7022.

NPI number for Dr Kelli C Mack is 1679515696 and her current mailing address is 1615 Truemper St, Lackland Afb, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679515696.

Contact Information

Dr Kelli C Mack, DDS
1615 Truemper St,
Jbsa Lackland, TX 78236-5511
(210) 539-7022
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelli C Mack
GenderFemale
SpecialityDentist - General Practice
Location1615 Truemper St, Jbsa Lackland, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679515696
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 03/02/2023

Medical Identifiers

Medical identifiers for Dr Kelli C Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679515696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 44021 (California)Secondary
1223G0001XDentist - General Practice 21967 (Texas)Secondary
1223G0001XDentist - General Practice 44021 (California)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. Dr Kelli C 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 AddressPractice Location Address
Dr Kelli C Mack, DDS
1615 Truemper St,
Lackland Afb, TX 78236-5511

Ph: (210) 539-7011
Dr Kelli C Mack, DDS
1615 Truemper St,
Jbsa Lackland, TX 78236-5511

Ph: (210) 539-7022

Reviews and Comments


Dentist in Jbsa Lackland, TX

Dr. Henry Andrew Foerster, DMD
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Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-6990    
Dr. David Lynn Wells, D.D.S., M.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Dr. Corydon Louis Doerr, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 2261 Hughes Ave Ste 153, Jbsa Lackland, TX 78236
Phone: 210-395-9661    
Dr. Timothy Wayne Hatchett Sr., D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-0123    
Dr. Mark Daniel Ryan, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236
Phone: 210-292-6258    Fax: 210-292-2618
Evan Shipp,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 512-621-5529    
Harrison Gordner, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2133 Pepperrell St Bldg 3352, 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236
Phone: 210-292-6258    

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