NPI 1013746320

Dennis Dylan Mack

Practitioner Physician Assistant Santa Maria, CA

Practice location

Address: 1075 E Betteravia Rd STE 201, Santa Maria, CA 93454-7023
Phone: (805) 621-7714

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 65186 (CA)

Other Physician Assistant providers in California →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1013746320
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2024
Record last updated: 24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.