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Deactivated NPI 1376528935 Deactivated / Inactive NPI Male Practitioner

Dr. James Walter Mack , DDS

Dentist • Delafield, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Mack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2005
NPI Deactivation Date December 14, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. James Mack, DDS was a registered Dentist practicing in Delafield, WI. Throughout an active medical career spanning 12 years, Dr. Mack provided care at the practice location at 423 GENESEE ST until profile deactivation on 2017-12-14.

Practice Location & Contact Primary Location

Practice Address

423 Genesee St

Delafield, WI 530181814

Telephone 2626468550

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Delafield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Delafield, WI (1850 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 5001975

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 14, 2017

Record deactivated on December 14, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 423 GENESEE ST, DELAFIELD, WI 530181814 (Tel: 2626468550)

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Updated Business Mailing Address July 08, 2007

Registered at 423 GENESEE ST, DELAFIELD, WI 530181814 (Tel: 2626468550)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES MACK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5001975 in WI)

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Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376528935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2005
Last Update: July 08, 2007
Deactivation Date: December 14, 2017

Mailing Address

423 Genesee St

Delafield, WI 530181814

Phone: 2626468550

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.