Casey M. Slack, DDS

General Practice Dentistry · Dayton, OH

Individual Active NPI

NPI number 1477873040

Practice location

4881 Sugar Maple Dr
Dayton, OH 45433
Phone
(937) 257-0500

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NPI record

NPI
1477873040
Entity type
Individual (Type 1)
Enumeration date
June 7, 2010
Last updated
October 7, 2024
Certified
October 3, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401413693 VA
Dentist 122300000X 0401413693 VA
Student in an Organized Health Care Education/Training Program 390200000X 0442000128 VA

Mailing address

1065 Boston Road
Joint Base Andrews, MD 20762
Phone
(240) 857-5029

About Dr. Slack

Casey M. Slack, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4881 Sugar Maple Dr, Dayton, OH 45433. The NPI number 1477873040 was assigned on June 7, 2010 and the record was last updated on October 7, 2024.

Dr. Slack lists 3 licenses in the registry: #0401413693 (VA) for General Practice Dentistry; #0401413693 (VA) for Dentist; #0442000128 (VA) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Casey M. Slack, DDS?

The NPI number is 1477873040.

What is the phone number of Dr. Slack?

The phone number listed for the practice location is (937) 257-0500.

Where is Dr. Slack located?

4881 Sugar Maple Dr, Dayton, OH 45433.

What is the taxonomy code for Dr. Slack?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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