JAMES ANDREW MACK (NPI# 1073606281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073606281 |
| Entity Type | Individual |
| Full Name | JAMES ANDREW MACK |
| Credential | DDS |
| Practice Address |
3004 Hg Mosley Pkwy Longview TX 75605-2948 |
| Practice Telephone | 9037583444 |
| Practice Fax Number | 9037581967 |
| Mailing Telephone | 9037583444 |
| Mailing Fax Number | 9037581967 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14659 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130585604 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 89T822 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487958500 | James C.a. Mack | Dentist | 110 Highland Avenue, New Stanton, PA 15672 | 2011-01-04 |
| 1396038204 | James Arthur Mack IIi | Counselor | 1814 Franklin St, Oakland, CA 94612-3487 | 2011-05-25 |
| 1942480280 | James E. Mack | Pharmacist | 400 W Morris St, Bath, NY 14810-1039 | 2007-11-03 |
| 1659456903 | James L Mack | Clinical Neuropsychologist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-10-26 |
| 1669575445 | James A. Mack | Internal Medicine | 1045 N 30th St, Billings, MT 59101-0733 | 2006-09-06 |
| 1720002678 | James Edward Mack | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-07-26 |
| 1457310757 | James C Mack II | Pediatrics | 2351 Huguenard Dr, Suite 200, Lexington, KY 40503 | 2006-03-23 |
| Street Address |
3004 HG MOSLEY PKWY |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376011486 | David Matthew Dodge | Dentist | 1461 Broadway Street, Suite A, Longview, WA 98632-3724 | 2018-11-06 |
| 1093293219 | Justin Vanbibber II Dds PC | Dentist | 900 Ocean Beach Hwy Ste A, Longview, WA 98632-4013 | 2018-07-31 |
| 1164977997 | Madison Mack | Dentist | 3008 H G Mosley Pkwy, Longview, TX 75605-2948 | 2016-08-22 |
| 1710360797 | Mohammedreza Atashzareh | Dentist | 1452 Hudson St Ste 200, Longview, WA 98632-3727 | 2015-07-08 |
| 1497197941 | Nicole Dominique Grant | Dentist | 1461 Broadway St Apt A, Longview, WA 98632-3724 | 2013-07-25 |
| 1295177012 | Rishank Reddy Korupolu | Dentist | 3052 N Eastman Rd, Longview, TX 75605-5093 | 2013-07-22 |
| 1205173457 | William G. Lesh Dmd, Ps | Dentist | 950 14th Ave, Longview, WA 98632-2317 | 2013-01-08 |
| 1881930196 | Heartland Dental Care of Texas | Dentist | 3010 H G Mosley Pkwy, Longview, TX 75605-2948 | 2012-12-14 |
| 1285978189 | Madugula Pllc | Dentist | 740 Ocean Beach Hwy Ste F, Longview, WA 98632-4061 | 2012-11-15 |
| 1629201124 | Thomas Smith Cotton | Dentist | 1405 Mccann Rd, Longview, TX 75601-3852 | 2009-08-31 |
| Find all providers in LONGVIEW | ||||
Please comment or provide details below to improve the information on JAMES ANDREW MACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.