DR. JACOB MACK DMD
NPI 1003544842
Dentist - General Practice in Davis Monthan Afb, AZ

Q: What is Jacob Mack's NPI number?

The NPI number for Jacob Mack is 1003544842. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Jacob Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Mack was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2022

4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707(719) 333-5192 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Nov 7, 2023, Oct 30, 2023 and 1 more (4 updates tracked since 2022).

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About Dr. Jacob Mack Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB MACK DMD (NPI 1003544842) is an individual general practice provider in Davis Monthan Afb, Arizona, licensed in Colorado (DEN.00205341) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1003544842

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACOB MACKCredential: DMD

Location Address4175 S ALAMO AVEDavis Monthan Afb, AZ 85707-4402

Mailing Address4175 S Alamo AveDavis Monthan Afb, AZ 85707-4402

Phone(719) 333-5192

Sole ProprietorNo

Enumeration DateAugust 10, 2022

Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1003544842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CO · DEN.00205341✔ Licensed in CO · 66362065

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4175 S ALAMO AVE, Davis Monthan Afb, AZ 85707

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY CHRISTY N.P.

Nurse Practitioner (Women's Health)

4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707

Pima County (520) 228-2665

DR. ELIZABETH ROSE PHILLIPS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

4175 S ALAMO AVE
TUCSON, AZ 85707

Pima County (520) 228-4357

MICHELLE MCLOUGHLIN LCSW

Social Worker (Clinical)

4175 S ALAMO AVE
TUCSON, AZ 85707

Pima County (520) 228-2104

DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707

Pima County (520) 228-2720

DR. CARL WAYNE DASSE MD

Family Medicine

4175 S ALAMO AVE
DM AFB, AZ 85707

Pima County (520) 228-2600

DR. NICHOLAS ROBERT EINBENDER D.M.D.

Dentist (General Practice)

4175 S ALAMO AVE
TUCSON, AZ 85707

Pima County (520) 228-2778

AMANDA COOK DO

Pediatrics

4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707

Pima County (520) 228-2778

TYLER ANTONELLI DDS

Dentist

4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707

Pima County (910) 619-6720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Mack's NPI number?

The NPI number for Jacob Mack is 1003544842. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Jacob Mack located?

Jacob Mack practices at 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707. The listed phone number is (719) 333-5192.

What is Jacob Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Mack was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.