1. Home
  2. Directory
  3. Texas
  4. Jbsa Lackland
  5. Dentist
  6. NPI Profile

DR. KELLI C. MACK D.D.S.
NPI 1679515696
Dentist - General Practice in Jbsa Lackland, TX

Active since June 12, 2006
1615 TRUEMPER ST, JBSA LACKLAND, TX 78236(210) 539-7022 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2023, Sep 20, 2021, May 14, 2019 (3 updates tracked since 2019).

About Dr. Kelli C. Mack D.d.s. NPPES

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

DR. KELLI C. MACK D.D.S. (NPI 1679515696) is an individual general practice provider in Jbsa Lackland, Texas, licensed in California (44021) and active in the NPI registry since June 2006. She maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1679515696
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLI C. MACKCredential: D.D.S.
Location Address1615 TRUEMPER STJbsa Lackland, TX 78236-5511
Mailing Address1615 Truemper StLackland Afb, TX 78236-5511 · (210) 539-7011
Phone(210) 539-7022
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1679515696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 44021✔ Licensed in TX · 21967
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.
Also ListedDentistTaxonomy 122300000X · License 44021 (CA)
1615 TRUEMPER ST, Jbsa Lackland, TX 78236
Open in Google Maps ↗

Secondary Practice Location 1

Location 13551 Rodger Brooke Dr.San Antonio, TX 78219 · Phone (210) 916-4141

Other Providers at the Same Location NPPES 20

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

DR. MARIANNE C HARTUP DMD
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Bexar County (210) 292-0123
DR. GEOFFREY JOHNSTON DDS
Dentist (Prosthodontics)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Bexar County (210) 292-0123
JOSEPH GEDGE DDS
Dentist (General Practice)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Bexar County (702) 653-2600
CASSANDRA M SHANNON
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Bexar County (210) 292-0123
DELBERT GEORGE OXBORROW DDS
Student in an Organized Health Care Education/Training Program
1615 TRUEMPER ST
LACKLAND AFB, TX 78236
Bexar County (210) 292-0123
WILLIAM GILMORE SENN
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Bexar County (210) 539-8224
RACHEL WEBER DDS
Dentist (Periodontics)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Bexar County (210) 292-0749
DR. SUSAN E DELLARIPA D.M.D.
Dentist
1615 TRUEMPER ST
LACKLAND, TX 78236
Bexar County (210) 671-9612

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 Kelli Mack's NPI number?

The NPI number for Kelli Mack is 1679515696. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Kelli Mack located?

Kelli Mack practices at 1615 Truemper St, Jbsa Lackland, TX 78236. The listed phone number is (210) 539-7022.

What is Kelli Mack'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 Kelli Mack was last updated on March 2, 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.