# ALAN F MACKS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alan Macks DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396281309
- **Authorized official:** ALAN F MACKS DMD (OWNER)
- **Authorized official phone:** (253) 476-1030

## Contact information

- **Practice address:** 5319 TACOMA MALL BLVD, TACOMA, WA 98409-7072
- **Practice address phone:** (253) 476-1030
- **Practice address fax:** (253) 476-1031
- **Mailing address:** 5319 TACOMA MALL BLVD, TACOMA, WA 98409-7072
- **Mailing address phone:** (253) 476-1030
- **Mailing address fax:** (253) 476-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5728 | WA | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 08/08/2017