Search › Missouri › 122300000X
Stephen Mack, DMD
NPI 1710207790 · on the registry since 2010
Practice
- Address
- 1316 E Independence St
Springfield, MO 65804 - Phone
- (417) 889-0700
- Fax
- (417) 882-0706
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-02
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 Missouri