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

Dr. Jacob Mack, DMD

Individual provider General Practice Dentistry · NPI 1003544842

Dr. Jacob Mack, DMD is a General Practice Dentistry in Davis Monthan AFB, Arizona. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4175 S Alamo Ave
Davis Monthan AFB, AZ 85707-4402
Phone: (719) 333-5192
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DEN.00205341 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 66362065 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003544842
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402

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