# CAMP-MACK ENTERPRISES LLC

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

## Provider details

- **NPI number:** 1851796262
- **Authorized official:** JAMES ANDREW MACK D.D.S. (PRESIDENT)
- **Authorized official phone:** (903) 758-3444

## Contact information

- **Practice address:** 1003 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-3261
- **Practice address phone:** (903) 577-1123
- **Practice address fax:** (903) 577-1125
- **Mailing address:** 3004 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
- **Mailing address phone:** (903) 758-3444
- **Mailing address fax:** (903) 758-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14659 | TX | Yes |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 10/28/2014
