Individual provider · Type 1 NPI

Harry Russell Mack Jr., DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Nashville, TN

NPI number 1639263783 Active

Practice location

5802 Nolensville Pike, Suite #103
Nashville, TN 37211-6520

Call (615) 873-4495 Map

Fax (615) 873-4436

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4873 (TN)

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.

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About NPI 1639263783

Harry Russell Mack Jr., DDS, MD's National Provider Identifier is 1639263783, issued on Oct 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Nashville, TN. The record was last updated on May 28, 2014.