Search › Utah › 1223S0112X
Jared Mack, DDS
NPI 1306092663 · on the registry since 2008 · sole proprietor
Practice
- Address
- 624 S 1000 E Ste 17
St George, UT 84790 - Phone
- (435) 289-6600
- Fax
- (435) 289-6900
- Organisation at this address
- St. George Red Rocks Pc
St George Kidney Care Llc
Blue Skies Anesthesia Llc
Red Rocks Surgical Center Pc
Liberty Dialysis-St.George LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 4125 Sorrento Valley Blvd, San Diego, CA
- 66 W Harding Ave Ste A, Cedar City, UT
- 1325 W 16th St, Yuma, AZ
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
1223S0112X
390200000X - Licence states on file
- CA, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah