Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COREY MACK, D.D.S.
ActiveCOREY MACK, D.D.S. is a General Dentistry healthcare provider located in LINN, Missouri. NPI 1962541995 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LINN, MO
Registration Details
- NPI Number
- 1962541995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2007 (19.539328313467 yrs)
- Last Updated
- Nov 29, 2023
- Licenses
-
13-2006 (NM)2006016427 (MO)
Practice Information
- Address
-
1217 EAST MAINLINN, MO, 65051Browse MO providers · Browse ZIP 65051
- Phone
- 5738972388
- Fax
- 5738973816
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
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.