Individual provider Active NPI

Summer Sophia Mack, DMD

  • Dentist
  • Aberdeen, NC
National Provider Identifier
1043109606
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14294 Issued in NC
Practice address
292 Turner St # B
Aberdeen, NC 28315-2363
Phone
(910) 505-9062
NPI assigned
Jun 30, 2025
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14294 NC Primary

Addresses

Primary practice location

292 Turner St # B
Aberdeen, NC 28315-2363

Mailing address

292 Turner St # B
Aberdeen, NC 28315-2363
Phone (614) 318-3116

Other names 1

  • Dr. Summer Sophia Mack Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14294NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Regional Anesthesia PLLC CurrentSince Jul 9, 2025 Accepting new patients
DRS. Monroe & Monroe DDS PA PastSince Jul 9, 2025 Accepting new patients

Locations

12 Regional Dr
Pinehurst, NC 28374
Phone (910) 295-4242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1043109606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 TURNER ST # B",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152363",
            "telephone_number": "614-318-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 TURNER ST # B",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152363",
            "telephone_number": "910-505-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "SUMMER",
        "middle_name": "SOPHIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "MACK",
            "middle_name": "SOPHIA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.