# DR. VINCENT MACK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275274649
- **Authorized official:** MRS. KALEENA RUTH SLADE (OFFICE MANAGER)
- **Authorized official phone:** (231) 929-7737

## Contact information

- **Practice address:** 3347 S AIRPORT RD W STE D, TRAVERSE CITY, MI 49684-7939
- **Practice address phone:** (231) 929-7737
- **Mailing address:** 3347 S AIRPORT RD W STE D, TRAVERSE CITY, MI 49684-7939
- **Mailing address phone:** (231) 929-7737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 04/07/2022