Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLI C. MACK, D.D.S.
ActiveDR. KELLI C. MACK, D.D.S. is a General Dentistry healthcare provider located in JBSA LACKLAND, Texas. NPI 1679515696 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1679515696
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2006 (20.18586678524 yrs)
- Last Updated
- Mar 2, 2023
- Licenses
-
44021 (CA)21967 (TX)44021 (CA)
Practice Information
- Address
-
1615 TRUEMPER STJBSA LACKLAND, TX, 782365511Browse TX providers · Browse ZIP 78236
- Phone
- 2105397022
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY P JESSUP | DDS | 1750375093 |
| DR. AMAR KOSARAJU | DMD | 1841287000 |
| DR. JANE SUEKO WALLACE | DDS | 1073500922 |
| DR. KIMBERLY GRADY | DDS | 1154310647 |
| DR. SHERYL KANE | DDS | 1376527028 |
| MICHAEL D. ZOLLARS | D.M.D. | 1538147954 |
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.