Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003544842 Individual Practitioner Male Practitioner

Dr. Jacob Mack , DMD

Dentist - General Practice • Davis Monthan Afb, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Mack, DMD is a registered healthcare professional specializing in Dentist - General Practice in Davis Monthan Afb, AZ. Practice services are available at 4175 S ALAMO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4175 S Alamo Ave

Davis Monthan Afb, AZ 857074402

Telephone 7193335192

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Davis Monthan Afb, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Davis Monthan Afb, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00205341

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO 66362065

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1023502671

Doctor of Dental Medicine

Lenka Serdar

Student in an Organized Health Care Education/Training Program

NPI 1053252429
Douglas Chan

Student in an Organized Health Care Education/Training Program

NPI 1114868890
Dr. Andrew Benfield , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1134460405

Doctor of Dental Medicine, Master of Science

Lauren Buschur

Dentist - General Practice

NPI 1164363792
NPI 1164532370

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location July 24, 2025

Registered at 4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 857074402 (Tel: 7193335192)

📍
Updated Business Mailing Address July 24, 2025

Registered at 4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 857074402

📍
Updated Business Mailing Address June 20, 2025

Registered at 2355 FACULTY DR, USAF ACADEMY, CO 808401805

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2025

Dentist (License #66362065 in CO)

📍
Updated Business Mailing Address November 07, 2023

Registered at 12570 TOSCANA HTS APT 1322, COLORADO SPRINGS, CO 809215657

📍
Updated Practice Location November 07, 2023

Registered at 2355 FACULTY DR, USAF ACADEMY, CO 808401805 (Tel: 4158168885)

NPI Profile Active August 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2022

Registered at 245 CORTE COLINA, NOVATO, CA 949495921 (Tel: 4158832234)

📍
Updated Business Mailing Address August 10, 2022

Registered at 1070 MILANO PT APT 1018, COLORADO SPRINGS, CO 809215641

👤
Provider Name / Credentials Updated August 10, 2022

Recorded as JACOB MACK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jacob Mack. Be the first to share your experience!

Sign in to leave a review for Dr. Jacob Mack

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003544842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2022
Last Update: July 24, 2025
Sole Proprietor: No

Mailing Address

4175 S Alamo Ave

Davis Monthan Afb, AZ 857074402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.