# JEFFREY R MACK DMD PA

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

## Provider details

- **NPI number:** 1275648081
- **Authorized official:** DR. JEFFREY R MACK DMD (PRES)
- **Authorized official phone:** (856) 728-3519

## Contact information

- **Practice address:** 1085 N BLACK HORSE PIKE, STE 3, WILLIAMSTOWN, NJ 08094
- **Practice address phone:** (856) 728-3519
- **Mailing address:** 1085 N BLACK HORSE PIKE, STE 3, WILLIAMSTOWN, NJ 08094
- **Mailing address phone:** (856) 728-3519

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/22/2020