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Deactivated NPI 1093725475 Deactivated / Inactive NPI Male Practitioner

Dr. Brendan Curran Stack , DDS MS

Dentist • Vienna, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brendan Stack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date September 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Brendan Stack, DDS MS was a registered Dentist practicing in Vienna, VA. Throughout an active medical career spanning 14 years, Dr. Stack provided care at the practice location at 8306 OLD COURTHOUSE RD until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

8306 Old Courthouse Rd
Suite A

Vienna, VA 221823844

Telephone 7038211103
Fax 7038218752
Associated Practice Facility / Clinic
🏢 Jeffrey L Brown, Dds, Plc Facility NPI 1649695511

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vienna, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
59 Specialists

Practicing in Vienna, VA (2514 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 VA VA3291

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jeffrey Brown , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1144623026

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 11, 2020

Record deactivated on September 11, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8306 OLD COURTHOUSE RD, SUITE A, VIENNA, VA 221823844 (Tel: 7038211103)

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Updated Business Mailing Address July 08, 2007

Registered at 8306 OLD COURTHOUSE RD, SUITE A, VIENNA, VA 221823844 (Tel: 7038211103)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRENDAN STACK, DDS MS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #VA3291 in VA)

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Initial NPI Registration & Enumeration August 09, 2006

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: 1093725475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Deactivation Date: September 11, 2020

Mailing Address

8306 Old Courthouse Rd, Suite A

Vienna, VA 221823844

Phone: 7038211103

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.