Dr. Vincent Mack
NPI 1275274649ActiveOrganization· Dentist· Traverse City, MI
Dentist in Traverse City, Michigan, registered in NPPES in April 2022. The authorized official on file is Kaleena Ruth Slade, Office Manager.
Overview
| NPI | 1275274649 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2022 |
| Last updated in NPPES | Apr 7, 2022 |
| Certified by provider | Apr 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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