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

Mrs. Katelyn Mack, DMD

Individual provider Dentist · NPI 1750764031

Mrs. Katelyn Mack, DMD is a Dentist in Yukon, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4425 Grant Blvd Custom Dental Of Yukon
Yukon, OK 73099
Phone: (405) 494-4877
Fax: (405) 494-4184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6738 (OK)

Record details

NPI number1750764031
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 3, 2015
Last updated in NPPESOctober 2, 2023
Mailing address4425 Grant Blvd., Yukon, OK 73099

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