Mack, Jared Wayne

Mack, Jared Wayne is an sole proprietor health care provider with primary practice located at 624 S 1000 E Ste 17 , St George UT 84790-5898. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mack, Jared Wayne can be contacted via phone (435) 289-6600.

Contact Information

Primary practice address
624 S 1000 E Ste 17 St George UT 84790-5898
Phone: (435) 289-6600
Fax: (435) 289-6900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 57690 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 57690 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11959048 Utah

Profile Details

NPI number 1306092663
LBN Legal business name Mack, Jared Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2008
Last updated Jan 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers