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Active NPI 1184880940 Individual Practitioner Female Practitioner

Dr. Suzanne Conley Tack , DDS

Dentist - General Practice • Thiensville, WI

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Tack, DDS is a registered healthcare professional specializing in Dentist - General Practice in Thiensville, WI. Practice services are available at 108 E FREISTADT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 E Freistadt Rd

Thiensville, WI 53092

Telephone 4146870719

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Thiensville, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Thiensville, WI (2459 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

CMS Verified: 2022-08-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 6252-015

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 31, 2022

Registered at 108 E FREISTADT RD, THIENSVILLE, WI 53092 (Tel: 4146870719)

📍
Updated Business Mailing Address August 31, 2022

Registered at 108 E FREISTADT RD, THIENSVILLE, WI 53092 (Tel: 4146870719)

👤
Provider Name / Credentials Updated August 31, 2022

Recorded as SUZANNE TACK, DDS

✅
NPI Profile Active November 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2012

Registered at 105 W SILVER SPRING DR, WHITEFISH BAY, WI 532174708 (Tel: 4149640680)

📍
Updated Business Mailing Address November 01, 2012

Registered at 105 W SILVER SPRING DR, WHITEFISH BAY, WI 532174708

👤
Provider Name / Credentials Updated November 01, 2012

Recorded as SUZANNE TACK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2012

Dentist (License #6252-015 in WI)

🟢
Initial NPI Registration & Enumeration July 31, 2008

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: 1184880940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2008
Last Update: August 31, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

108 E Freistadt Rd

Thiensville, WI 53092

Phone: 4146870719

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.