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MADISON MACK DDS
NPI 1164977997
Dentist in Longview, TX

Active since August 22, 2016
3008 H G MOSLEY PKWY, LONGVIEW, TX 75605(903) 236-4050(903) 753-4426 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Mack Dds NPPES

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

MADISON MACK DDS (NPI 1164977997) is an individual dentist in Longview, Texas, licensed in Texas (32168) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1164977997
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMADISON MACKCredential: DDS
Location Address3008 H G MOSLEY PKWYLongview, TX 75605-2948
Mailing Address3008 H G Mosley PkwyLongview, TX 75605-2948 · (903) 236-4050 · Fax (903) 753-4426
Phone(903) 236-4050
Fax(903) 753-4426
Sole ProprietorYes
Enumeration DateAugust 22, 2016
✔ NPI 1164977997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 32168
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.
3008 H G MOSLEY PKWY, Longview, TX 75605
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Other Providers at the Same Location NPPES

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

MACK DENTAL
Clinic/Center (Dental)
3008 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 236-4050

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 Madison Mack's NPI number?

The NPI number for Madison Mack is 1164977997. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Madison Mack located?

Madison Mack practices at 3008 H G Mosley Pkwy, Longview, TX 75605. The listed phone number is (903) 236-4050.

What is Madison Mack's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Madison Mack was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.