SearchUtahOral and Maxillofacial Surgery (Dentist)

Jared Mack, DDS

NPI 1306092663 · on the registry since 2008 · sole proprietor

Practice

Address
624 S 1000 E Ste 17
St George, UT 84790
Phone
(435) 289-6600
Fax
(435) 289-6900
Organisation at this address
St. George Red Rocks Pc
St George Kidney Care Llc
Blue Skies Anesthesia Llc
Red Rocks Surgical Center Pc
Liberty Dialysis-St.George Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 4125 Sorrento Valley Blvd, San Diego, CA
  • 66 W Harding Ave Ste A, Cedar City, UT
  • 1325 W 16th St, Yuma, AZ

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Dentist
Oral and Maxillofacial Surgery (Dentist)
Student in an Organized Health Care Education/Training Program
Licence states on file
CA, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-16

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 Utah