Active NPIIndividual providerSole proprietor

Dr. Iman Mack, DMD

Dentist, General Practice in Watertown, Massachusetts

NPI Number1184759425
Practice location
15 Summer St, Watertown, MA 02472-3466
Fax
617-924-8605
Last updated
July 8, 2007

Iman Mack is a Dentist, General Practice based in Watertown, MA. Iman Mack practices in Watertown, MA and has the professional credentials of DMD. The NPI Number for Iman Mack is 1184759425 and holds a License No. 18845 (MA). The current practice location address for Iman Mack is 15 Summer St, Watertown, MA 02472-3466 and can be reached out via phone at 617-924-1989 and via fax at 617-924-8605.

Provider Profile Details

NPI Number
1184759425
Provider Name
Iman Mack
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
15 Summer St, Watertown, MA 02472-3466
Phone Number
617-924-1989
Fax Number
617-924-8605
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Summer St
Watertown, MA 02472-3466
Zip
02472-3466
Phone Number
617-924-1989
Fax Number
617-924-8605
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
15 Summer St
Watertown, MA 02472-3466
City
Watertown
State
MA
Zip
02472-3466
Phone Number
617-924-1989
Fax Number
617-924-8605

License Information

License Number
18845
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Watertown, MA

View all Dentist, General Practice providers in Watertown →

Frequently Asked Questions

What is the NPI number of Dr. Iman Mack, DMD?

The NPI number of Dr. Iman Mack, DMD is 1184759425. It was assigned on February 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Iman Mack, DMD?

Dr. Iman Mack, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 18845.

Where does Dr. Iman Mack, DMD practice?

The practice location is 15 Summer St, Watertown, MA 02472-3466. The office can be reached at 617-924-1989 (phone) or 617-924-8605 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184759425 directly on the NPPES registry website.

Browse related providers