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DR. BRANDON TRAMELL MACK D.D.S.
NPI 1659761765
Dentist in Tampa, FL

Active since January 27, 2015
111 N 12TH ST, SUITE 1105, TAMPA, FL 33602(813) 397-3632 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brandon Tramell Mack D.d.s. NPPES

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

DR. BRANDON TRAMELL MACK D.D.S. (NPI 1659761765) is an individual dentist in Tampa, Florida, licensed in Florida (DN21070) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1659761765
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRANDON TRAMELL MACKCredential: D.D.S.
Location Address111 N 12TH ST, SUITE 1105Tampa, FL 33602-3661
Mailing Address1081 A1a Beach BlvdSt Augustine, FL 32080-6733 · (904) 471-3291
Phone(813) 397-3632
Sole ProprietorNo
Enumeration DateJanuary 27, 2015
Last NPPES UpdateOctober 8, 2015
✔ NPI 1659761765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN21070
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.
111 N 12TH ST, Tampa, FL 33602
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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 ›

Other Providers at the Same Location NPPES 2

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

SHAMAAL M MILLER M.D.
Anesthesiology
111 N 12TH ST, APT. 1816
TAMPA, FL 33602
Hillsborough County (912) 257-6419
DR. VICTOR DAMASO CRUZ MD
Internal Medicine
111 N 12TH ST
TAMPA, FL 33602
Hillsborough County (813) 397-3632

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 Brandon Mack's NPI number?

The NPI number for Brandon Mack is 1659761765. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Where is Brandon Mack located?

Brandon Mack practices at 111 N 12th St Suite 1105, Tampa, FL 33602. The listed phone number is (813) 397-3632.

What is Brandon Mack's specialty?

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

What insurance does Brandon 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 Guardian and 1 other insurer list Brandon 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 Brandon Mack was last updated on October 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.