NPI age
19 years
Enumerated 2006-06-12
● Active
Type 1 · Individual
DR. Kelli C. MacK, D.D.S.
MacK is 1 of 34 dentist providers in Jbsa Lackland and 1 of 15661 in Texas.
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
CA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1615 Truemper St
Jbsa Lackland, TX 782365511
Mailing address
1615 Truemper St
Lackland Afb, TX 782365511
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3551 Rodger Brooke Dr.
San Antonio, TX 78219
Specialties
-
Dentist PrimaryA 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.
-
DentistA 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...
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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