Mackert, Justin Ray

Mackert, Justin Ray is an individual health care provider with primary practice located at 1322 N Cooper Rd , Gilbert AZ 85233-1903. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Prosthodontics, Dental Providers / Dentist. Dental Providers / Prosthodontics is his primary health care specialty. Mackert, Justin Ray can be contacted via phone (480) 626-0262.

Contact Information

Primary practice address
1322 N Cooper Rd Gilbert AZ 85233-1903
Phone: (480) 626-0262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Prosthodontics 1223P0700X D011298 Arizona
Dental Providers / Dentist 122300000X 12840183-9921 Utah

Profile Details

NPI number 1619435740
LBN Legal business name Mackert, Justin Ray
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Jan 5th, 2024 - about 2 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.

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