Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dennis Dylan Mack

Individual provider Physician Assistant · NPI 1013746320

Dennis Dylan Mack is a Physician Assistant in Santa Maria, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
Phone: (805) 621-7714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 65186 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1013746320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2024
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

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