DR. Jacob Mack, DMD

NPI #1003544842 in Davis Monthan Afb, Arizona

Provider Information

NPI Number: 1003544842
Entity Type: Individual
Name: DR. Jacob Mack, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 10, 2022
Last Updated: Jul 24, 2025

Practice Location

Address: 4175 S ALAMO AVE
City: Davis Monthan Afb
State: Arizona
ZIP Code: 85707-4402
Phone: (719) 333-5192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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