MACT DENTAL, ANGELS CAMP
NPI 1417505918
Dentist - General Practice in Angels Camp, CA

Q: What is M A C T Health Board, Incorporated's NPI number?

The NPI number for M A C T Health Board, Incorporated is 1417505918. It was assigned to this organization in the NPPES registry on August 28, 2019. The provider is doing business as Mact Dental, Angels Camp.

Q: What is M A C T Health Board, Incorporated's specialty?

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

Active since August 28, 2019

52 S MAIN STREET, SUITE B, ANGELS CAMP, CA 95222(209) 754-6262 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 17, 2022, Aug 28, 2019 (2 updates tracked since 2019).

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About Mact Dental, Angels Camp NPPES

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

MACT DENTAL, ANGELS CAMP (NPI 1417505918) is a healthcare organization registered as a general practice in Angels Camp, California and active in the NPI registry since August 2019. The organization lists John Shawver Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417505918

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameM A C T HEALTH BOARD, INCORPORATED

Location Address52 S MAIN STREET, SUITE BAngels Camp, CA 95222

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262

Phone(209) 754-6262

Organization SubpartYesParent: Mact Health Board, Incorporated

Authorized OfficialJohn Shawver AlexanderExecutive Director · (209) 754-6258

Enumeration DateAugust 28, 2019

Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration

NPPES CertifiedNovember 17, 2022

✔ NPI 1417505918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

52 S MAIN STREET, SUITE B, Angels Camp, CA 95222

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Other Names 1

Doing Business AsMact Dental, Angels Camp

Other Identifiers 1

Other1366519431CA · Fqhc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 M A C T Health Board, Incorporated's NPI number?

The NPI number for M A C T Health Board, Incorporated is 1417505918. It was assigned to this organization in the NPPES registry on August 28, 2019. The provider is doing business as Mact Dental, Angels Camp.

Where is M A C T Health Board, Incorporated located?

M A C T Health Board, Incorporated is located at 52 S Main Street, Suite B, Angels Camp, CA 95222. The listed phone number is (209) 754-6262.

What is M A C T Health Board, Incorporated'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 M A C T Health Board, Incorporated was last updated on November 17, 2022. 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.