Teresa Olack, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901600837 Issued in MI

Practice address

162 S Water St
Marine City, MI 48039-1687

Phone

(810) 765-4055

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A1 Family Dentistry of Marine City,PLC

  • General Practice Dentistry
  • Marine City, MI
  • NPI 1619305596
  NPD (past)
• Marine City Dental, P.C.

  • General Practice Dentistry
  • Marine City, MI
  • NPI 1518116235
  NPD (past)

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1841968823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391687",
            "telephone_number": "810-765-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391687",
            "telephone_number": "810-765-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15980 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381140",
            "country_code": "US",
            "telephone_number": "586-286-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 W Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843510",
            "country_code": "US",
            "telephone_number": "248-643-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37020 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480363645",
            "country_code": "US",
            "telephone_number": "586-263-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 N Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480671363",
            "country_code": "US",
            "telephone_number": "248-548-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLACK",
        "first_name": "TERESA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901600837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaferti-Elra Aton-Amon Morgan, DC
• Renee Morris
• Karen Anita Murphy
• Stuart Neale
• Norbert C. Zimmer P.C.
• Madison Ottjepka, LMSW
• Patricia Marie Parise, OTR
• Peter R Pashley, D.O
• Dipa Patel, D.D.S
• Pegasus Therapy LLC

• Periodontics in Marine City, MI
• Providers in Marine City, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.