Individual provider · Type 1 NPI

Brandon Tramell Mack, DDS

Dentist · Tampa, FL

NPI number 1659761765 Active

Practice location

111 N 12th St, Suite 1105
Tampa, FL 33602-3661

Mailing address

1081 A1A Beach Blvd
St. Augustine, FL 32080-6733

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN21070 (FL)

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 1659761765

Brandon Tramell Mack, DDS's National Provider Identifier is 1659761765, issued on Jan 27, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tampa, FL. The record was last updated on Oct 8, 2015.