JARED WAYNE MACK

ST GEORGE, UT
NPI1306092663
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT  11959048)
Additional Taxonomies122300000X Dentist
(Licence: CA  57690)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  57690)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-08-18
Last Update Date2023-01-16
Business Address
Mr. JARED WAYNE MACK DDS
624 S 1000 E STE 17
ST GEORGE, UT 84790-5898
Phone number: 435-289-6600
Mailing Address
Mr. JARED WAYNE MACK DDS
624 S 1000 E STE 107
ST GEORGE, UT 84790-5902
Phone number: 435-289-6600