Harry R. Mack, Jr., D.D.S., M.D., LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HARRY R. MACK, JR., D.D.S., M.D., LLC

Practice address

5802 Nolensville Pike
Suite 103
Nashville, TN 37211-6520

Phone

(615) 832-5599

Fax

(615) 834-4579

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Flowers

Title

Office Manager

Phone

(615) 873-4495

Specialties & licenses 1

Addresses

Other names 1

• Nashville Oral Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry Russell Mack Jr., DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
  • NPI 1639263783
  NPD (past)
• Ryan Fitzgerald Thomas, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
  • NPI 1013200054
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1679729016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 NOLENSVILLE PIKE",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116520",
            "telephone_number": "615-873-4495",
            "fax_number": "615-873-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 NOLENSVILLE PIKE",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116520",
            "telephone_number": "615-832-5599",
            "fax_number": "615-834-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY R. MACK, JR., D.D.S., M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-873-4495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven M Harrison, MD
• Valda Harrison, LPN
• William Larry Harrison, LCSW
• David L Harrom, MD
• Heidi Harrom, M.D.
• Dustin Charles Harryman
• Sarah E. Harshaw, MSPT
• Adam J Harshbarger, MD
• Jade Kelland Harshbarger, MD
• Angela Hart, LPC

• Oral and Maxillofacial Surgery (Dentist) in Nashville, TN
• Providers in Nashville, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.