# MACK FAMILY DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Dental Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912678608
- **Authorized official:** ERIC L MACK DDS (OWNER)
- **Authorized official phone:** (303) 690-5037

## Contact information

- **Practice address:** 15250 E. ORCHARD RD., CENTENNIAL, CO 80016
- **Practice address phone:** (303) 690-5037
- **Practice address fax:** (720) 640-0550
- **Mailing address:** 15250 E. ORCHARD RD., CENTENNIAL, CO 80016
- **Mailing address phone:** (303) 690-5037
- **Mailing address fax:** (720) 640-0550

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 09/28/2021