Samuel Tack is a Richmond, Virginia based Dentist who is specialized in Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Samuel Tack is 0438000489 for Oral and Maxillofacial Surgery in Virginia. His current practice location is 520 N 12th St, Richmond. Patients can reach him at 804-628-7146.
Samuel Tack is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Samuel Tack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Samuel Tack
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
520 N 12th St, Richmond, Virginia, 23298-5064
Phone:
804-628-7146
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1033658406
NPI Enumeration Date:
18 Feb, 2017
NPI Last Update On:
11 Sep, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Tack are as mentioned below.
License Number
Specialization
State
Status
0438000489
Oral and Maxillofacial Surgery
Virginia
Primary
0401415733
Student in an Organized Health Care Education/Training Program
Virginia
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
520 N 12th St, Richmond, Virginia
Zip:
23298-5064
Phone Number:
804-628-7146
Patients can reach Samuel Tack at 520 N 12th St, Richmond, Virginia or can call to book an appointment on 804-628-7146. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.