Thomas J. Stack, Dds, P.c. | |
7530 Annapolis Rd Hyattsville MD 20784-1702 | |
(301) 918-1951 | |
Not Available |
Full Name | Thomas J. Stack, Dds, P.c. |
---|---|
Speciality | Dentist |
Location | 7530 Annapolis Rd, Hyattsville, Maryland |
Authorized Official Name and Position | Thomas Stack (PRACTICE OWNER) |
Authorized Official Contact | 3019181951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas J. Stack, Dds, P.c. 7530 Annapolis Rd Hyattsville MD 20784-1702 Ph: (301) 918-1951 | Thomas J. Stack, Dds, P.c. 7530 Annapolis Rd Hyattsville MD 20784-1702 Ph: (301) 918-1951 |
NPI Number | 1912404591 |
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Provider Enumeration Date | 04/10/2018 |
Last Update Date | 04/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912404591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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