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

Zack Kalib Mahan, DDS

Individual provider General Practice Dentistry · NPI 1740964329

Zack Kalib Mahan, DDS is a General Practice Dentistry in Fort Gordon, Georgia. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2023
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

320 E Hospital Rd
Fort Gordon, GA 30905
Phone: (706) 787-5102
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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 13423741 (UT)

Record details

NPI number1740964329
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 5, 2023
Mailing address854 Goodale Dr., Augusta, GA 30909

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