Samuel Tack

  • Richmond, VA
  • Oral and maxillofacial surgery (dentist)
NPI1033658406
Part D claims, 2024
23
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2017
Practice address
520 N 12th St, Richmond, VA 23298-5064
Practice phone
Call (804) 828-3769
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Vcu Oral-facial Surgery And Services - Richmond (520 N 12th St) [23298]

Dental practice · Richmond, Virginia

See all 2 affiliations

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Samuel Tack is an oral and maxillofacial surgery (dentist) in Richmond, Virginia

Samuel Tack practices at Vcu Oral-facial Surgery And Services - Richmond (520 N 12th St) [23298] in Richmond, Virginia.

Samuel Tack's NPI, 1033658406, was assigned on February 18, 2017. Samuel Tack holds Virginia license 0438000489.

NPI and contact details
NPI enumeration date
February 18, 2017
NPI status
Active
Practice phone
(804) 828-3769
Professional email
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Personal email
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Mobile number
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Sex
Male

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Samuel Tack practices at 2 locations in Richmond, Virginia

Samuel Tack's primary practice is Vcu Oral-facial Surgery and Services - Richmond (520 N 12th St) [23298], at 520 N 12th St, Richmond, VA 23298-5064. The practice phone is (804) 828-3769. The NPI Registry lists Samuel Tack's practice address as 1250 E Marshall St, Richmond, VA 23298.

  • Vcu Oral-facial Surgery and Services - Richmond (520 N 12th St) [23298]Primary
    520 N 12th St, Richmond, VA 23298-5064Phone(804) 828-3769
  • NPI Registry address
    1250 E Marshall St, Richmond, VA 23298 · Richmond City

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Samuel Tack is affiliated with 1 site of care and 1 medical group

Samuel Tack's primary practice is Vcu Oral-facial Surgery And Services - Richmond (520 N 12th St) [23298] in Richmond, Virginia. Dmand AI also links Samuel Tack to 1 medical group, named with a free account.

Vcu Oral-facial Surgery And Services - Richmond (520 N 12th St) [23298]Dental practice · Richmond, VirginiaPrimary
1 medical groupName with a free account
See all 2 affiliations for Samuel Tack

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Samuel Tack's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Samuel Tack practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Vcu Oral-facial Surgery And Services - Richmond (520 N 12th St) [23298]Available with a free account
+1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Samuel Tack is one of 130 orals and maxillofacial surgery (dentist)s in Virginia

Oral and maxillofacial surgery is Samuel Tack's primary specialty in the NPI Registry, under taxonomy code 1223S0112X. Samuel Tack is licensed in Virginia.

Specialties and state licenses

  • Oral and maxillofacial surgery (dentist), VirginiaPrimaryLicense 0438000489 · taxonomy 1223S0112X

Orals and maxillofacial surgery (dentist)s near Samuel Tack

Counts of orals and maxillofacial surgery (dentist)s with a Dmand AI profile, by place and practice. Each opens the list.

130orals and maxillofacial surgery (dentist)s in Virginia
8orals and maxillofacial surgery (dentist)s in Richmond

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Samuel Tack's patients have a median age of 70

Across all payers, Dmand AI patient panel data puts Samuel Tack's median patient age at 70, with 100% women.

Samuel Tack's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women100%
  • Men0%

Source: Dmand AI Patient Panel Data

Samuel Tack wrote 23 Medicare Part D claims in 2024

In 2024, Samuel Tack wrote 23 Medicare Part D claims for 15 patients. 96% of them were for generic drugs.

Part D claims, 202423
Part D patients15

Samuel Tack's Part D claims by kind of drug, 2024

  • Generic22 claims96%
  • Brand-name and other1 claims4%

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

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Sources for Samuel Tack's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Samuel Tack

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What is Samuel Tack's NPI number?

Samuel Tack's NPI number is 1033658406. It was assigned on February 18, 2017, and it is active in the NPI Registry.

What does Samuel Tack specialize in?

Samuel Tack is an oral and maxillofacial surgery (dentist) in Richmond, Virginia. The primary specialty in the NPI Registry is Oral and Maxillofacial Surgery (Dentist) (taxonomy code 1223S0112X).

Where does Samuel Tack practice?

Samuel Tack practices at 520 N 12th St, Richmond, VA 23298-5064. Samuel Tack also practices at 1250 E Marshall St, Richmond, VA 23298. Samuel Tack's primary practice is Vcu Oral-facial Surgery And Services - Richmond (520 N 12th St) [23298] in Richmond, Virginia. Dmand AI also links Samuel Tack to 1 medical group.

What is Samuel Tack's office phone number?

The practice phone on file for Samuel Tack is (804) 828-3769.

What is Samuel Tack's medical license number?

Samuel Tack holds Virginia license 0438000489.

How long has Samuel Tack been practicing?

Samuel Tack's NPI was assigned in 2017.

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