| Dr Simon Lucas Mack, DDS | |
|
3004 H.g. Mosley Pkwy, Longview, TX 75605 | |
| (903) 758-3444 | |
| (903) 758-1967 |
| Full Name | Dr Simon Lucas Mack |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Experience | 8 Years |
| Location | 3004 H.g. Mosley Pkwy, Longview, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639676166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34781 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Texas Oral And Maxillofacial Surgery Associates Inc | 4981865771 | 3 |
| Entity Name | East Texas Oral & Maxillofacial Surgery Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952459307 PECOS PAC ID: 4981865771 Enrollment ID: O20120423000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Simon Lucas Mack, DDS 3004 H.g. Mosley Pkwy, Longview, TX 75605 Ph: (903) 758-3444 | Dr Simon Lucas Mack, DDS 3004 H.g. Mosley Pkwy, Longview, TX 75605 Ph: (903) 758-3444 |
Dr. Justin Ray Horne, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Doctor Cir, Longview, TX 75605 Phone: 903-758-6406 Fax: 903-758-8116 |
Dr. Chris L Kirby, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 3121 H G Moseley Pkwy, Longview, TX 75605 Phone: 903-663-0861 Fax: 903-663-9148 |
Dr. Patrick Briscoe, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3006 H G Mosley Pkwy, Longview, TX 75605 Phone: 903-753-2151 Fax: 903-753-0884 |
James Andrew Mack, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 3004 Hg Mosley Pkwy, Longview, TX 75605 Phone: 903-758-3444 Fax: 903-758-1967 |
Candace Yong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 444 Forest Sq Ste E, Longview, TX 75605 Phone: 903-758-5551 Fax: 903-758-5877 |
Dr. Philip John Thomas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Doctor Cir, Longview, TX 75605 Phone: 903-758-6406 Fax: 903-758-8116 |
Alfred Harris Fowler Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 444 Forest Square, Suite D, Longview, TX 75605 Phone: 903-236-8538 Fax: 903-236-8539 |