Individual provider · Type 1 NPI
Jared Wayne Mack, DDS
Oral and Maxillofacial Surgery (Dentist) · St. George, UT
Practice location
624 S 1000 E Ste 17
St. George, UT 84790-5898
Fax (435) 289-6900
Mailing address
624 S 1000 E Ste 107
St. George, UT 84790-5902
Other practice locations
- 4125 Sorrento Valley Blvd, Suite D, San Diego, CA 92121 · (858) 997-2701
- 66 W Harding Ave Ste A, Cedar City, UT 84720-2596 · (435) 289-6600
- 1325 W 16th St, Yuma, AZ 85364-4496 · (928) 329-6447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 57690 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 57690 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 11959048 (UT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in St. George
About NPI 1306092663
Jared Wayne Mack, DDS's National Provider Identifier is 1306092663, issued on Aug 18, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. George, UT. The record was last updated on Jan 16, 2023.