Mack, Madison
Mack, Madison is an sole proprietor health care provider with primary practice located at 3008 H G Mosley Pkwy , Longview TX 75605-2948. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mack, Madison can be contacted via phone (903) 236-4050.Contact Information
Primary practice address
3008 H G Mosley Pkwy
Longview TX 75605-2948
Phone: (903) 236-4050
Fax: (903) 753-4426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 32168 | Texas |
Profile Details
| NPI number | 1164977997 |
|---|---|
| LBN Legal business name | Mack, Madison |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2016 |
| Last updated | Aug 22nd, 2016 - about 8 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.
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