Mack, Samuel Christopher

Mack, Samuel Christopher is an sole proprietor health care provider with primary practice located at 615 N Third Street Ste 2, Longview TX 75601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mack, Samuel Christopher can be contacted via phone (903) 236-4050.

Contact Information

Primary practice address
615 N Third Street Ste 2 Longview TX 75601
Fax: (903) 753-4426
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13770 Texas

Profile Details

NPI number 1730225103
LBN Legal business name Mack, Samuel Christopher
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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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