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

MS. Alexis Marie Mack, DDS

Individual provider General Practice Dentistry · NPI 1730793803

MS. Alexis Marie Mack, DDS is a General Practice Dentistry in Broomfield, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2020
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

13606 Xavier Ln Ste B
Broomfield, CO 80023
Phone: (303) 466-7306
Fax: (303) 466-7389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 00204454 (CO)

Record details

NPI number1730793803
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 4, 2020
Last updated in NPPESJune 12, 2022
Certification dateJune 12, 2022

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