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MRS. KELLY ANNE MACK RD4
NPI 1245308899
Dental Hygienist in Wheaton, IL

Active since December 01, 2006
55 E LOOP RD, GROVE DENTAL ASSOC SUITE 201, WHEATON, IL 60187(630) 653-8899 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Anne Mack Rd4 NPPES

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

MRS. KELLY ANNE MACK RD4 (NPI 1245308899) is an individual dental hygienist in Wheaton, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1245308899
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. KELLY ANNE MACKCredential: RD4
Location Address55 E LOOP RD, GROVE DENTAL ASSOC SUITE 201Wheaton, IL 60187
Mailing Address621 Glacier TrailRoselle, IL 60172 · (630) 980-0992
Phone(630) 653-8899
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245308899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
55 E LOOP RD, Wheaton, IL 60187
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Other Providers at the Same Location NPPES 11

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

PETER IHOR LIBER MD
Pediatrics
55 E LOOP RD, 301
WHEATON, IL 60187
Dupage County (630) 690-7300
MS. LYNN MARY ABLES MD
Pediatrics
55 E LOOP RD, SUITE 301
WHEATON, IL 60187
Dupage County (630) 690-7300
MRS. VANDA L MARSH CPNP
Nurse Practitioner (Pediatrics)
55 E LOOP RD, SUITE 301
WHEATON, IL 60187
Dupage County (630) 690-7300
WHEATON PEDIATRICS, LTD.
Pediatrics
55 E LOOP RD, SUITE 301
WHEATON, IL 60187
Dupage County (630) 690-7300
MS. JENNIFER JOAN SHUBAT RDH
Dental Hygienist
55 E LOOP RD, STE 201
WHEATON, IL 60187
Dupage County (630) 653-8899
MS. ANDREA NICHOLE TRATTNER RDH
Dental Hygienist
55 E LOOP RD, STE 201 GROVE DENTAL
WHEATON, IL 60187
Dupage County (630) 853-8899
MISS DORI JEAN WACHOWSKI RDH
Dental Hygienist
55 E LOOP RD, SUIETE 201 GROVE DENTAL
WHEATON, IL 60187
Dupage County (630) 853-8899
ROBBIN L MITCHELL DC
Chiropractor
55 E LOOP RD, SUITE #203
WHEATON, IL 60187
Dupage County (630) 665-8688

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 Kelly Mack's NPI number?

The NPI number for Kelly Mack is 1245308899. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kelly Mack located?

Kelly Mack practices at 55 E Loop Rd Grove Dental Assoc Suite 201, Wheaton, IL 60187. The listed phone number is (630) 653-8899.

What is Kelly Mack's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.