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Search › Arizona › General Practice Dentistry

Jacob Mack, DMD

NPI 1003544842 · on the registry since 2022

Practice

Address
4175 S Alamo Ave
Davis Monthan Afb, AZ 85707
Phone
(719) 333-5192
Clinicians at this address
31

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Student in an Organized Health Care Education/Training Program
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona