Mack, Katelyn
Mack, Katelyn is an individual health care provider with primary practice located at 4425 Grant Blvd. Custom Dental Of Yukon , Yukon OK 73099. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mack, Katelyn can be contacted via phone (405) 494-4877.Contact Information
Primary practice address
4425 Grant Blvd. Custom Dental Of Yukon
Yukon OK 73099
Phone: (405) 494-4877
Fax: (405) 494-4184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6738 | Oklahoma |
Profile Details
| NPI number | 1750764031 |
|---|---|
| LBN Legal business name | Mack, Katelyn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2015 |
| Last updated | Oct 2nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750764031 | NPPES |
| Oklahoma | Other | 6738 | STATE OF OKLAHOMA |
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