Individual provider · Type 1 NPI
Simon Lucas Mack, DDS
Dentist · Longview, TX
Practice location
3004 H.g. Mosley Pkwy
Longview, TX 75605
Fax (903) 758-1967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Dentist Primary | 122300000X | 34781 (TX) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1639676166
Simon Lucas Mack, DDS's National Provider Identifier is 1639676166, issued on Apr 11, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Longview, TX. The record was last updated on Sep 9, 2022.