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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THOMAS A SLACK, DDS

Active

DR. THOMAS A SLACK, DDS is a Oral & Maxillofacial Surgery healthcare provider located in PORTAGE, Michigan. NPI 1669433793 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PORTAGE, MI

Registration Details

NPI Number
1669433793
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2006 (20.337909868563 yrs)
Last Updated
Sep 11, 2025
License
2901013823 (MI)

Practice Information

Address
3801 GLENKERRY CT
PORTAGE, MI, 490240718
Browse MI providers · Browse ZIP 49024
Phone
2693231527
Fax
2693231670
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in PORTAGE, MI

Name Credential NPI
DR. KEVIN DONALD MORSE DDS 1164416194
DR. CHRISTIAN L KANAR DDS 1952361594
DR. TIMOTHY V WILLIAMS DDS 1245291368
DR. JOHN R GISSAL DDS 1780645804
DAVID M. WILSON DMD, MD 1376705038
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.