Mrs. Katelyn Mack is a Yukon, Oklahoma based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mrs. Katelyn Mack is 6738 for Dentistry in Oklahoma. Her current practice location is 4425 Grant Blvd. Custom Dental Of Yukon, Yukon. Patients can reach her at 405-494-4877.
Mrs. Katelyn Mack is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mrs. Katelyn 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:
Mrs. Katelyn Mack
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
4425 Grant Blvd. Custom Dental Of Yukon, Yukon, Oklahoma, 73099
Phone:
405-494-4877
Fax:
405-494-4184
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.
NPI Number:
1750764031
NPI Enumeration Date:
03 Jul, 2015
NPI Last Update On:
02 Oct, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Katelyn Mack are as mentioned below.
License Number
Specialization
State
Status
6738
Dentistry
Oklahoma
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Katelyn Mack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6738
Other
Oklahoma
STATE OF OKLAHOMA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4425 Grant Blvd., Yukon, Oklahoma
Zip:
73099
Phone Number:
405-494-4877
Fax Number:
405-494-4184
Patients can reach Mrs. Katelyn Mack at 4425 Grant Blvd. Custom Dental Of Yukon, Yukon, Oklahoma or can call to book an appointment on 405-494-4877. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.