Dr. Simon Lucas Mack, DDS
Dr. Simon Lucas Mack, DDS is a Dentist in Longview, Texas. Qualified in 2018, 8 years ago. Practices with East Texas Oral and Maxillofacial Surgery Associates Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 8
- Licensed in
- TX
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- DDS — Doctor of Dental Surgery
- A dentist. DDS and DMD are the same qualification — universities choose which title to award.
Practice location Address checks out
Longview, TXNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 34781 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639676166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | April 11, 2018 |
| Last updated in NPPES | September 9, 2022 |
| Certification date | September 9, 2022 |
Medicare enrollment
| Medicare specialty | DENTIST |
|---|---|
| Also practises | ORAL SURGERY |
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | East Texas Oral And Maxillofacial Surgery Associates Inc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Longview
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Thulasi Kulasinghe, DO
Student / training record Longview, TX
-
Brian Huy Hoang Le, DO
Student / training record Longview, TX
-
Brian-Cuong Le
Student / training record Longview, TX
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Hanna Lee
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Soumya Mamidi
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Dr. Ajay Singh Mattu, OD
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Joseph Alton McRee, CRNA
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Camryn Middleton, DO
Student / training record Longview, TX