THOMAS J. STACK, DDS, P.C. (NPI# 1912404591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912404591 |
| Entity Type | Organization |
| Organization Name | THOMAS J. STACK, DDS, P.C. |
| Practice Address |
7530 Annapolis Rd Hyattsville MD 20784-1702 |
| Practice Telephone | 3019181951 |
| Mailing Telephone | 3019181951 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | THOMAS STACK (PRACTICE OWNER) |
| Authorized Official Telephone | 3019181951 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
7530 ANNAPOLIS RD |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20784-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871151266 | Calvin Wilson, Dds, P.C. | Dentist | 7530 Annapolis Rd, Hyattsville, MD 20784-1702 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731363 | Detos Services LLC | Ambulance | 7609 Fontainebleau Drive, #2213, New Carrollton, MD 20784 | 2019-10-16 |
| 1649742263 | Nelson Ngang | Registered Nurse | 6611 Stanton Road, Hyattsville, MD 20784 | 2018-12-20 |
| 1497222152 | Relindis Lum Asangong | Home Health Aide | 5393 Quincy Street, Hyattville, MD 20784 | 2018-10-30 |
| 1801378278 | Reward Oruomachukwu Ezeogu Sr. | Home Health Aide | 3410 55th Avenue Apt 403, Hyattsville, MD 20784 | 2018-09-03 |
| 1417439118 | Lesly Teke Agwenjang | Home Health Aide | 5201 Quincy Street, Apt B2, Blandesburg, MD 20784 | 2018-08-30 |
| 1457839003 | Oluwafunbi Olafusi | Home Health Aide | 5337 85th Ave Apt 13, New Carrollton, MD 20784 | 2018-08-04 |
| 1427542000 | Richard Earl Ballard Jr. | Counselor | Site Office: Charles Carroll Ms 6130 Lamont Drive, C/o Ms. Claudia B.-walter, Fbcog- Ceo for Son Rise Cc&i, New Carrollton, MD 20784 | 2018-06-18 |
| 1225530272 | Tamba Biango | Home Health Aide | 4066 Warner Ave C5, Hyattsville, MD 20784 | 2018-03-06 |
| 1356867410 | Boris Acha Acha | Home Health Aide | 3512 54th Avenue, Hyattsville, MD 20784 | 2017-08-20 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| Find all providers in zip 20784 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023491248 | Lorraine Rodriguez | Dentist | 2970 Belcrest Center Drive Ste 105, Ibrush Family Dental Care, Hyattsville, MD 20782-1912 | 2015-07-07 |
| 1720488927 | Yvonelle Moreau | Dentist | 7023 Martin Luther King Jr Hwy, Hyattsville, MD 20785 | 2014-08-26 |
| 1588962229 | Clivious Arvel Johnson | Dentist | 6424 Elliot Place, Hyattsville, MD 20783 | 2011-03-04 |
| 1336382779 | Ravi Chand Ganesh II | Dentist | 5403 Queens Chapel Rd, Hyattsville, MD 20782-3902 | 2009-04-15 |
| 1649431735 | Dental Associate | Dentist | 3600 E West Hwy Ste 400, Hyattsville, MD 20782-2014 | 2008-06-20 |
| 1164624904 | Mahmoud Foad Nasr | Dentist | 3512 Longfellow St, Hyattsville, MD 20782-3845 | 2007-06-04 |
| 1841414646 | Gwendolyn Rochie Daniels Parks | Dentist | 2201 Queens Chapel Rd, Hyattsville, MD 20782-3672 | 2007-04-12 |
| 1124134408 | Ronald M Grossman Dds Pa | Dentist | 6525 Belcrest Road, Suite 212, Hyattsville, MD 20782 | 2006-08-21 |
| 1619988458 | Daniel De Haas | Dentist | 7101 Annapolis Road, Hyattsville, MD 20784-2129 | 2006-08-10 |
| 1871151266 | Calvin Wilson, Dds, P.C. | Dentist | 7530 Annapolis Rd, Hyattsville, MD 20784-1702 | 2019-05-31 |
| Find all providers in HYATTSVILLE | ||||
| City | HYATTSVILLE |
| Zip Code | 20784 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.