Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578798799 Individual Practitioner Male Practitioner

Dr. Thomas Joseph Stack , MD

Dentist • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Stack, MD is a registered healthcare professional specializing in Dentist in Baltimore, MD. Practice services are available at 421 FALLSWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

421 Fallsway

Baltimore, MD 212024800

Telephone 4108375533
Fax 4108378020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
296 Specialists

Practicing in Baltimore, MD (1975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MD 14396

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
383841200 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tamara Riley , LPN

Licensed Practical Nurse

NPI 1013069004

Licensed Practical Nurse

NPI 1023529476
Dr. Sarah Gillman , MD

Psychiatry & Neurology - Psychiatry

NPI 1043534522

Doctor of Medicine (M.D.)

Christina Beilenson , LCSWC

Social Worker - Clinical

NPI 1073593604

Licensed Clinical Social Worker - Certified

Rena Card , LGSW

Social Worker

NPI 1083131775
Jill Eicher , LGSW

Social Worker

NPI 1093018020

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2015

Registered at 421 FALLSWAY, BALTIMORE, MD 212024800 (Tel: 4108375533)

📍
Updated Business Mailing Address October 12, 2015

Registered at 421 FALLSWAY, BALTIMORE, MD 212024800 (Tel: 4108375533)

👤
Provider Name / Credentials Updated October 12, 2015

Recorded as THOMAS STACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2015

Dentist (License #14396 in MD)

🟢
Initial NPI Registration & Enumeration May 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578798799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2009
Last Update: October 12, 2015
Sole Proprietor: Yes

Mailing Address

421 Fallsway

Baltimore, MD 212024800

Phone: 4108375533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.