DR. ANDREW N MACK (NPI# 1083683866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083683866 |
| Entity Type | Individual |
| Full Name | DR. ANDREW N MACK |
| Credential | DMD |
| Practice Address |
31 E Main St Canton PA 17724-1506 |
| Practice Telephone | 5706738833 |
| Practice Fax Number | 5706737066 |
| Mailing Telephone | 5706738833 |
| Mailing Fax Number | 5706737066 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 053744-1 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS036443 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053421909 | Andrew Mack | Physical Therapist | 3313 Vollmer Rd, Flossmoor, IL 60422-2003 | 2006-08-30 |
| 1063517175 | Andrew William Mack | Orthopaedic Surgery | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-09-13 |
| Street Address |
31 E MAIN ST |
| City | CANTON |
| State | PA |
| Zip Code | 17724-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801326368 | Haley Seeley | Social Worker | 425 East Main St., Canton, PA 17724 | 2017-06-18 |
| 1598914160 | David Thomas Kopetan | Dentist | 11 E Main St, Canton, PA 17724 | 2008-09-18 |
| 1770533135 | Robert A Place | Dentist | 11 E Main St, Canton, PA 17724 | 2006-05-10 |
| 1669787263 | Paul D. Pepper Jr. | Funeral Director | 578 Springbrook Drive, Canton, PA 17724-0173 | 2010-08-09 |
| 1609243419 | Eric Humble | Counselor | 359 Troy St, Canton, PA 17724-1015 | 2015-08-27 |
| 1588157770 | Bridget Renee Tracey | Occupational Therapist | 533 Troy St, Canton, PA 17724-1041 | 2018-06-12 |
| 1346214830 | Canton Area School District | Psychologist | 141 E Union St, Canton, PA 17724-1205 | 2006-02-14 |
| 1497830947 | Canton Area School District | Local Education Agency (LEA) | 141 E Union St, Canton, PA 17724-1205 | 2006-10-25 |
| 1134347727 | Jennifer A. Ferguson | Physical Therapist | 21 E Tioga St, Canton, PA 17724-1309 | 2007-04-22 |
| 1306997390 | Mjr Ltd | Pharmacy | 7 Troy St, Canton, PA 17724-1403 | 2007-01-16 |
| Find all providers in zip 17724 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008361 | Portable Smiles Mobile Inc | Dentist | 519 Pinehurst Dr, Canton, MI 48188-3078 | 2020-06-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1669014403 | Flossed LLC | Dentist | 500 Chapman St Unit 201, Canton, MA 02021-2040 | 2019-10-14 |
| 1164078960 | Caleb Jonathon Fuller | Dentist | 46592 W Oak Manor Ct, Canton, MI 48187-5230 | 2019-08-16 |
| 1518527191 | Pediatric Dentistry | Dentist | 45535 Hanford Rd, Canton, MI 48187-4595 | 2019-06-17 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1891267316 | Canton Marketplace Dentistry LLC | Dentist | 1810 Cumming Hwy Ste 900, Canton, GA 30115-2999 | 2018-12-21 |
| 1548754252 | Ashvi Mittal | Dentist | 248 Taylors Farm Dr, Canton, GA 30115-9023 | 2018-06-15 |
| 1285127605 | Cameron Parker Demarsh | Dentist | 2414 Whipple Ave Nw, Canton, OH 44708-1514 | 2018-06-11 |
| 1184146318 | Cherokee Family Dental East Cherokee LLC | Dentist | 7768 Cumming Hwy Ste 100, Canton, GA 30115-2982 | 2017-07-10 |
| Find all providers in CANTON | ||||
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| 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.