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Dr. Simon Lucas Mack, DDS
Dentist in Longview, Texas
NPI 1639676166

Simon Lucas Mack is a Dentist based in Longview, TX. Simon Lucas Mack practices in Longview, TX and has the professional credentials of DDS. The NPI Number for Simon Lucas Mack is 1639676166 and holds a License No. (Texas).

The current practice location address for Simon Lucas Mack is 3004 H.g. Mosley Pkwy, Longview, TX and can be reached out via phone at 903-758-3444 and via fax at 903-758-1967.

Location: 3004 H.g. Mosley Pkwy, Longview, TX, 75605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639676166
Provider Name
Simon Lucas Mack
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3004 H.g. Mosley Pkwy, Longview, TX, 75605
Phone Number
903-758-3444
Fax Number
903-758-1967
Provider Enumeration Date
04/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3004 H.g. Mosley Pkwy
City
Longview
State
Texas
Zip
75605
Phone Number
903-758-3444
Fax Number
903-758-1967
person
Provider Business Mailing Address Details
Address
3004 H.g. Mosley Pkwy
City
Longview
State
Texas
Zip
75605
Phone Number
903-758-3444
Fax Number
903-758-1967
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
34781 (Texas)
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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