Individual
DR. KERVIN BRANDON MACK
Active
Individual
DR. KERVIN BRANDON MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918330
—
NC
Enumeration date
04/13/2011
Last updated
11/17/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up