Search › Texas › 122300000X
Simon Mack, D.D.S
NPI 1639676166 · on the registry since 2018
Practice
- Address
- 3004 H.G. Mosley Pkwy
Longview, TX 75605 - Phone
- (903) 758-3444
- Fax
- (903) 758-1967
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-09
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 Texas