Thomas J. Stack, DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THOMAS J. STACK, DDS, P.C.

Practice address

7530 Annapolis Rd
Hyattsville, MD 20784-1702

Phone

(301) 918-1951

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Thomas Stack, DDS

Title

Practice Owner

Phone

(301) 918-1951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1912404591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 ANNAPOLIS RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841702",
            "telephone_number": "301-918-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 ANNAPOLIS RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841702",
            "telephone_number": "301-918-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. STACK, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "301-918-1951",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hyattsville, MD
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• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.