Individual provider · Type 1 NPI

Kelli C. Mack, DDS

General Practice Dentistry · Jbsa Lackland, TX

NPI number 1679515696 Active

Practice location

1615 Truemper St
Jbsa Lackland, TX 78236-5511

Call (210) 539-7022 Map

Other practice locations

  • 3551 Rodger Brooke Dr., San Antonio, TX 78219 · (210) 916-4141

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X44021 (CA)
General Practice Dentistry 1223G0001X21967 (TX)
General Practice Dentistry Primary 1223G0001X44021 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

23 other providers at this address

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About NPI 1679515696

Kelli C. Mack, DDS's National Provider Identifier is 1679515696, issued on Jun 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Mar 2, 2023.