Mac Dental

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2013016358 Issued in MO

Legal business name

MAC DENTAL

Practice address

413 N McCroskey St
Nixa, MO 65714-9330

Phone

(417) 725-3200

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Jacob McLauchlin

Title

Dentist

Phone

(417) 725-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1912451220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N MCCROSKEY ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149330",
            "telephone_number": "417-725-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N MCCROSKEY ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149330",
            "telephone_number": "417-725-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MCLAUCHLIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-725-3200"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "2013016358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siu Ping Luthy, M.D.
• Gregory Lloyd Lyford, MD
• Timothy Patrick Lyons, LPC
• M & W Medical Services, LLC
• M-Star Enterprises, Inc (J&W Medical Supply)
• Haven Macfee, PA-C
• Magnolia Lactation LLC
• Eliada Mailat
• Martha J Malone-Gilbert
• Jennifer Lynn Maloney, PLPC

• Point of Service in Nixa, MO
• Providers in Nixa, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.