Richard Tack, D.D.S.

General Practice Dentistry · Clarkston, MI

Individual Active NPI

NPI number 1922299502

Practice location

7650 Dixie Hwy
Suite 120
Clarkston, MI 48346-2078
Phone
(248) 625-1769

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NPI record

NPI
1922299502
Entity type
Individual (Type 1)
Enumeration date
August 7, 2007
Last updated
August 7, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901012344 MI

About Dr. Tack

Richard Tack, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7650 Dixie Hwy, Suite 120, Clarkston, MI 48346-2078. The NPI number 1922299502 was assigned on August 7, 2007 and the record was last updated on August 7, 2007.

Dr. Tack lists a license in the registry: #2901012344 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard Tack, D.D.S.?

The NPI number is 1922299502.

What is the phone number of Dr. Tack?

The phone number listed for the practice location is (248) 625-1769.

Where is Dr. Tack located?

7650 Dixie Hwy, Suite 120, Clarkston, MI 48346-2078.

What is the taxonomy code for Dr. Tack?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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