DR. HARRY RUSSELL MACK JR. DDS,MD
NPI 1639263783
Dentist - Oral and Maxillofacial Surgery in Nashville, TN

Q: What is Harry Mack's NPI number?

The NPI number for Harry Mack is 1639263783. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Harry Mack's specialty?

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

Q: Is Harry Mack enrolled in Medicare?

No. Harry Mack has opted out of Medicare through December 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Harry Mack was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 03, 2006Opted out of Medicare · through Dec 18, 2027

5802 NOLENSVILLE PIKE, SUITE #103, NASHVILLE, TN 37211(615) 873-4495(615) 873-4436 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Harry Russell Mack Jr. Dds,md NPPES

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

DR. HARRY RUSSELL MACK JR. DDS,MD (NPI 1639263783) is an individual oral and maxillofacial surgery provider in Nashville, Tennessee, licensed in Tennessee (4873) and active in the NPI registry since October 2006. He has opted out of Medicare through December 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639263783

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. HARRY RUSSELL MACK JR.Credential: DDS,MD

Location Address5802 NOLENSVILLE PIKE, SUITE #103Nashville, TN 37211-6520

Mailing Address5802 Nolensville Pike, Suite #103Nashville, TN 37211-6520 · (615) 873-4495 · Fax (615) 873-4436

Phone(615) 873-4495

Fax(615) 873-4436

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateMay 28, 2014

✔ NPI 1639263783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TN · 4873

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.

5802 NOLENSVILLE PIKE, Nashville, TN 37211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Harry Russell Mack Jr. Dds,md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2015 through December 18, 2027.

Opt-Out Effective DateDecember 18, 2015

Opt-Out In Effect ThroughDecember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. BARRY WALKER BECK D.D.S., M.D.

Dentist (Oral and Maxillofacial Surgery)

5802 NOLENSVILLE PIKE, SUITE 202
NASHVILLE, TN 37211

Davidson County (615) 864-7135

JEREMY D. ELLIOTT D.M.D.

Dentist (General Practice)

5802 NOLENSVILLE PIKE, SUITE 101
NASHVILLE, TN 37211

Davidson County (615) 832-5899

HARRY R. MACK, JR., D.D.S., M.D., LLC

Dentist (Oral and Maxillofacial Surgery)

5802 NOLENSVILLE PIKE, SUITE 103
NASHVILLE, TN 37211

Davidson County (615) 832-5599

HALEY STICKLES

Dental Hygienist

5802 NOLENSVILLE PIKE
NASHVILLE, TN 37211

Davidson County (615) 832-5899

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 Harry Mack's NPI number?

The NPI number for Harry Mack is 1639263783. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Harry Mack located?

Harry Mack practices at 5802 Nolensville Pike Suite #103, Nashville, TN 37211. The listed phone number is (615) 873-4495.

What is Harry Mack's specialty?

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

Is Harry Mack enrolled in Medicare?

No. Harry Mack has opted out of Medicare through December 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Harry Mack accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Harry 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 Harry Mack was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.