Thomas Stack & Associates, DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS STACK & ASSOCIATES, DDS, LLC

Practice address

20 E Timonium Rd Ste 300
Timonium, MD 21093-3458

Phone

(301) 318-0652

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Joseph Stack, DDSNPI 1578798799

Title

Dentist

Phone

(301) 318-0652

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Joseph Stack, MD

  • Dentist
  • Baltimore, MD
  • NPI 1578798799
  NPD Authorized official

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1760948103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CABERNET ST",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081280",
            "telephone_number": "301-318-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TIMONIUM RD STE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933458",
            "telephone_number": "301-318-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS STACK & ASSOCIATES, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-318-0652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timonium Dental & Specialty LLC

• Dental Clinic/Center in Timonium, MD
• Providers in Timonium, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.