Individual
THOMAS MICHAEL MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17215 N 72ND DR, STE A100, GLENDALE, AZ 85308
(623) 582-8384
(623) 582-1722
Mailing address
17215 N 72ND DR, STE A100, GLENDALE, AZ 85308
(623) 582-8384
(623) 582-1722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1682
NM
1223G0001X
General Practice Dentistry
3681
SC
1223G0001X
General Practice Dentistry
Primary
3872
AZ
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us