# DR. THOMAS STUART MACKENZIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205814407
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13769 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6871 | WI | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D13296 | MN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE00008885 | WA | — |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 02/08/2016