Individual provider · Type 1 NPI

Jacob Mack, DMD

General Practice Dentistry · Davis Monthan Afb, AZ

NPI number 1003544842 Active

Practice location

4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X66362065 (CO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001XDEN.00205341 (CO)

General Practice Dentistry: 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.

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About NPI 1003544842

Jacob Mack, DMD's National Provider Identifier is 1003544842, issued on Aug 10, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Davis Monthan Afb, AZ. The record was last updated on Jul 24, 2025.