Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB MACK, DMD
ActiveDR. JACOB MACK, DMD is a General Dentistry healthcare provider located in DAVIS MONTHAN AFB, Arizona. NPI 1003544842 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DAVIS MONTHAN AFB, AZ
Registration Details
- NPI Number
- 1003544842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2022 (4.0171134972735 yrs)
- Last Updated
- Jul 24, 2025
- Licenses
-
66362065 (CO)DEN.00205341 (CO)
Practice Information
- Address
-
4175 S ALAMO AVEDAVIS MONTHAN AFB, AZ, 857074402Browse AZ providers · Browse ZIP 85707
- Phone
- 7193335192
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in DAVIS MONTHAN AFB, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. ROBIN L LIVINGSTON | DMD | 1982682514 |
| DR. ANDREW JOSEPH STOY | D.D.S. , M.S. | 1518093616 |
| DR. DEREK SNARE | D.M.D. | 1477893485 |
| DR. NICHOLAS MILLER | DDS | 1538754544 |
| PAYTON LOFTON | DMD | 1861237323 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.