Stack, Thomas Joseph

Stack, Thomas Joseph is an sole proprietor health care provider with primary practice located at 331 Ushers Rd , Ballston Lake NY 12019-1546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stack, Thomas Joseph can be contacted via phone (518) 877-7452.

Contact Information

Primary practice address
331 Ushers Rd Ballston Lake NY 12019-1546
Phone: (518) 877-7452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 038153 New York

Profile Details

NPI number 1356363741
LBN Legal business name Stack, Thomas Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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