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

Mr. Jared Wayne Mack, DDS

Individual provider Dentist · NPI 1306092663

Mr. Jared Wayne Mack, DDS is a Dentist in St George, Utah. Practices as a sole proprietor and works from 4 locations. Licensed in California and Utah.

Licensed in
CA, UT
In the registry since
2008
Specialties on file
4
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

624 S 1000 E Ste 17
St George, UT 84790-5898
Phone: (435) 289-6600
Fax: (435) 289-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1325 W 16th St, Yuma, AZ 85364-4496 — (928) 329-6447
  • 4125 Sorrento Valley Blvd, San Diego, CA 92121 — (858) 997-2701
  • 66 W Harding Ave Ste A, Cedar City, UT 84720-2596 — (435) 289-6600

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 11959048 (UT)
Dentist Taxonomy 122300000X · Licence 57690 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 57690 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306092663
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 18, 2008
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023
Mailing address624 S 1000 E Ste 107, St George, UT 84790-5902

Other providers in St George