SAMUEL TACK

Oral and Maxillofacial Surgery (Dentist)

NPI: 1033658406Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

0401415733(VA)

Oral and Maxillofacial Surgery (Dentist)Primary

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

0438000489(VA)

Contact & Hours

Via practice · 2 locations total

Address: 27005 76TH AVE
NEW HYDE PARK, NY 11040
Phone: (718) 470-7000

Practice locations map

Locations (2)

Practice Location

27005 76TH AVE, NEW HYDE PARK, NY

Practice Location

520 N 12TH ST, RICHMOND, VA

Quick Facts

NPI: 1033658406
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 2

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