Search › Texas › 1223G0001X
Kelli Mack, D.D.S
NPI 1679515696 · on the registry since 2006
Practice
- Address
- 1615 Truemper St
Jbsa Lackland, TX 78236 - Phone
- (210) 539-7022
- Clinicians at this address
- 17
Additional practice sites
- 3551 Rodger Brooke Dr., San Antonio, TX
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
1223G0001X - Licence states on file
- CA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-02
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 Texas