Individual provider · Type 1 NPI

Kervin Brandon Mack, PharmD, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Burlington, NC

NPI number 1316237290 Active

Practice location

1628 Memorial Dr, #C
Burlington, NC 27215-3592

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	8824 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1316237290

Kervin Brandon Mack, PharmD, DMD's National Provider Identifier is 1316237290, issued on Apr 13, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Burlington, NC. The record was last updated on Nov 17, 2012.