What is Kelly Mack's NPI number?

Kelly Mack's National Provider Identifier (NPI) is 1780702472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Mack's specialty?

Kelly Mack is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Kelly Mack located?

Kelly Mack's practice location on file with NPPES is 2200 Horseshoe Ln, Longview, TX 75605-5648.

What is Kelly Mack's phone number?

The practice phone number listed in the NPPES registry for Kelly Mack is (903) 753-3673.

Is Kelly Mack's NPI active?

Yes — Kelly Mack's NPI (1780702472) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Kelly Mack, DDS

NPI 1780702472 · General Practice Dentistry · Longview, TX

Kelly Mack, DDS is a General Practice Dentistry provider in Longview, TX (NPI 1780702472).

Provider details

NPI number: 1780702472
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 12211 (TX)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 12211 (TX)
Dental Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2200 Horseshoe Ln

Longview, TX 75605-5648

Phone: (903) 753-3673

Fax: (903) 753-2637

Street-level locationGet directions

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Mailing address