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MR. JARED WAYNE MACK DDS
NPI 1306092663
Dentist - Oral and Maxillofacial Surgery in St George, UT

Active since August 18, 2008
624 S 1000 E STE 17, ST GEORGE, UT 84790(435) 289-6600(435) 289-6900 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2023, Jan 9, 2023 (2 updates tracked since 2023).

About Mr. Jared Wayne Mack Dds NPPES

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

MR. JARED WAYNE MACK DDS (NPI 1306092663) is an individual oral and maxillofacial surgery provider in St George, Utah, licensed in Utah (11959048) and active in the NPI registry since August 2008. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306092663
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. JARED WAYNE MACKCredential: DDS
Location Address624 S 1000 E STE 17St George, UT 84790-5898
Mailing Address624 S 1000 E Ste 107St George, UT 84790-5902 · (435) 289-6600 · Fax (435) 289-6900
Phone(435) 289-6600
Fax(435) 289-6900
Sole ProprietorYes
Enumeration DateAugust 18, 2008
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1306092663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in UT · 11959048✔ Licensed in CA · 57690
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 57690 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
624 S 1000 E STE 17, St George, UT 84790
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Secondary Practice Locations 3

Location 14125 Sorrento Valley Blvd, Suite DSan Diego, CA 92121 · Phone (858) 997-2701 · Fax (858) 550-5954
Location 266 W Harding Ave Ste ACedar City, UT 84720-2596 · Phone (435) 289-6600 · Fax (435) 289-6900
Location 31325 W 16th StYuma, AZ 85364-4496 · Phone (928) 329-6447 · Fax (928) 782-8036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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 Jared Mack's NPI number?

The NPI number for Jared Mack is 1306092663. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Jared Mack located?

Jared Mack practices at 624 S 1000 E Ste 17, St George, UT 84790. The listed phone number is (435) 289-6600.

What is Jared Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Jared Mack accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Jared Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Mack was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.