Active NPIIndividual providerSole proprietor

Dr. Michael J Mack, DDS

Dentist, General Practice in Cos Cob, Connecticut

NPI Number1508952375
Practice location
40 E. Putnam Ave., Cos Cob, CT 06807
Fax
203-869-2261
Last updated
July 8, 2007

Michael John Mack is a Dentist, General Practice based in Cos Cob, CT. Michael John Mack practices in Cos Cob, CT and has the professional credentials of DDS. The NPI Number for Michael John Mack is 1508952375 and holds a License No. 005247 (CT). The current practice location address for Michael John Mack is 40 E. Putnam Ave., Cos Cob, CT 06807 and can be reached out via phone at 203-661-2279 and via fax at 203-869-2261.

Provider Profile Details

NPI Number
1508952375
Provider Name
Michael John Mack
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
40 E. Putnam Ave., Cos Cob, CT 06807
Phone Number
203-661-2279
Fax Number
203-869-2261
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 E. Putnam Ave.
Cos Cob, CT 06807
Zip
06807
Phone Number
203-661-2279
Fax Number
203-869-2261
Cos Cob, CT 06807Get directions →

Provider Business Mailing Address Details

Address
40 E. Putnam Ave.
Cos Cob, CT 06807
City
Cos Cob
State
CT
Zip
06807
Phone Number
203-661-2279
Fax Number
203-869-2261

License Information

License Number
005247
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Michael J Mack, DDS?

The NPI number of Dr. Michael J Mack, DDS is 1508952375. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Mack, DDS?

Dr. Michael J Mack, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 005247.

Where does Dr. Michael J Mack, DDS practice?

The practice location is 40 E. Putnam Ave., Cos Cob, CT 06807. The office can be reached at 203-661-2279 (phone) or 203-869-2261 (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 1508952375 directly on the NPPES registry website.

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