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MRS. KATELYN MACK DMD
NPI 1750764031
Dentist in Yukon, OK

Active since July 03, 2015
4425 GRANT BLVD. CUSTOM DENTAL OF YUKON, YUKON, OK 73099(405) 494-4877(405) 494-4184 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Feb 23, 2016 (2 updates tracked since 2016).

About Mrs. Katelyn Mack Dmd NPPES

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

MRS. KATELYN MACK DMD (NPI 1750764031) is an individual dentist in Yukon, Oklahoma, licensed in Oklahoma (6738) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1750764031
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. KATELYN MACKCredential: DMD
Location Address4425 GRANT BLVD. CUSTOM DENTAL OF YUKONYukon, OK 73099
Mailing Address4425 Grant Blvd.Yukon, OK 73099 · (405) 494-4877 · Fax (405) 494-4184
Phone(405) 494-4877
Fax(405) 494-4184
Sole ProprietorNo
Enumeration DateJuly 3, 2015
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
✔ NPI 1750764031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 6738
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.
4425 GRANT BLVD. CUSTOM DENTAL OF YUKON, Yukon, OK 73099
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Other Names 1

Former Name (1)Katelyn Johnson Dmd

Other Identifiers 1

Other6738OK · State Of Oklahoma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 Katelyn Mack's NPI number?

The NPI number for Katelyn Mack is 1750764031. It was assigned to this individual provider in the NPPES registry on July 3, 2015. The provider is also known as Katelyn Johnson Dmd.

Where is Katelyn Mack located?

Katelyn Mack practices at 4425 Grant Blvd. Custom Dental Of Yukon, Yukon, OK 73099. The listed phone number is (405) 494-4877.

What is Katelyn Mack's specialty?

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

What insurance does Katelyn Mack accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Katelyn 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 Katelyn Mack was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.