Robert D. Mack, DDS
General Dentistry · Fargo, ND
UnclaimedDDSNPI 1245465970
- Primary taxonomy
- 122300000X
- Enumerated
- 2009-05-26
- Practice location
- Fargo, ND
- Last NPPES update
- 2014-05-21
State licenses
- MN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.