Dr. Simon Lucas Mack is a Longview, Texas based Dentist with
8 years of experience in
Dentist. He completed his graduation from
Other in 2018. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Simon Lucas Mack is
34781 for Dentistry in Texas. His current practice location is
3004 H.g. Mosley Pkwy, Longview. Patients can reach him at
903-758-3444.
Dr. Simon Lucas Mack is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Simon Lucas Mack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Simon Lucas Mack |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3004 H.g. Mosley Pkwy, Longview,
Texas, 75605 |
| Phone: | 903-758-3444 |
| Fax: | 903-758-1967 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082001524 |
| Enrollment ID: | I20220502000042 |
| NPI Number: | 1639676166 |
| NPI Enumeration Date: | 11 Apr, 2018 |
| NPI Last Update On: | 09 Sep, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Simon Lucas Mack are as mentioned below.
| License Number | Specialization | State | Status | |
| 34781 | Dentistry | Texas | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Simon Lucas Mack is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| East Texas Oral And Maxillofacial Surgery Associates Inc (4981865771) | 3 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3004 H.g. Mosley Pkwy,
Longview, Texas |
| Zip: | 75605 |
| Phone Number: | 903-758-3444 |
| Fax Number: | 903-758-1967 |
Patients can reach Dr. Simon Lucas Mack at
3004 H.g. Mosley Pkwy, Longview, Texas or can
call to book an appointment on 903-758-3444.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.