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

Dr. Kelli C. Mack, DDS

Individual provider Dentist · NPI 1679515696

Dr. Kelli C. Mack, DDS is a Dentist in Jbsa Lackland, Texas. Works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2006
Specialties on file
3
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.

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Practice location Address checks out

1615 Truemper St
Jbsa Lackland, TX 78236-5511
Phone: (210) 539-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3551 Rodger Brooke Dr., San Antonio, TX 78219 — (210) 916-4141

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 44021 (CA)
Dentist Taxonomy 122300000X · Licence 44021 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 21967 (TX)

Record details

NPI number1679515696
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMarch 2, 2023
Certification dateMarch 1, 2023
Mailing address1615 Truemper St, Lackland Afb, TX 78236-5511

Other providers in Jbsa Lackland