Tack, Richard
Tack, Richard is an sole proprietor health care provider with primary practice located at 7650 Dixie Hwy Suite 120, Clarkston MI 48346-2078. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tack, Richard can be contacted via phone (248) 625-1769.Contact Information
Primary practice address
7650 Dixie Hwy Suite 120
Clarkston MI 48346-2078
Phone: (248) 625-1769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901012344 | Michigan |
Profile Details
| NPI number | 1922299502 |
|---|---|
| LBN Legal business name | Tack, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Aug 7th, 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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