Thomas D Slack DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

5907 Issued in CO

Legal business name

THOMAS D SLACK DDS PC

Practice address

2504 E Pikes Peak Ave Ste 301
Colorado Springs, CO 80909-6031

Phone

(719) 392-8596

Fax

(719) 392-8298

NPI assigned

Jun 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas D Slack, DDS

Title

Dentist/President

Phone

(719) 392-8596

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1730593971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 E PIKES PEAK AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096031",
            "telephone_number": "719-392-8596",
            "fax_number": "719-392-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E PIKES PEAK AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096031",
            "telephone_number": "719-392-8596",
            "fax_number": "719-392-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D SLACK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "719-392-8596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Thielen
• Jonathon Daniel Holmes Thigpen
• Sara Jean Thinger, P.T.
• Thinkingfeelingbeing
• Robert Dean Thoman, D.D.S.
• Thomas E. Bowser MD PLLC
• Thomas J Lynch DDS PC
• Thomas P. Dlugos, MD, PC
• Abraham Kanjappallil Thomas, D.M.D.
• Amanda S Thomas

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.