Samuel Tack
Oral and Maxillofacial Surgery (Dentist) · Richmond, VA
Samuel Tack is an oral and maxillofacial surgery (dentist) with a practice address in Richmond, Virginia, and NPI 1033658406, issued on Feb 18, 2017. Check the license (Virginia 0438000489, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samuel Tack
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License numbers
- 0438000489 VA
0401415733 VA
Self-reported in NPPES; status is on the state search - Practice location
- 520 N 12TH St, Richmond, VA 23298
- Phone
- (804) 628-7146
- Enumerated
- Feb 18, 2017
- Record last updated
- Sep 11, 2023
- Entity
- Type 1 · individual
8 nearest oral and maxillofacial surgery (dentist) records → All 256 in Virginia → Look up another NPI →
Also registered at 520 N 12TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Aous AbdulmajeedGeneral Practice Dentistry1780357624
- Saira Ahmed, D.D.S.Dentist1205246253
- Fawaz Al-Foraih, DDSEndodontics1457668766
- Uesser Al-JanabyProsthodontics1417883745
- Khadejah AlansaryPediatric Dentistry1306680566
- Ahmad AldeeweliStudent in an Organized Health Care Education/Training Program1407782964
Verify Samuel Tack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0438000489Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average oral and maxillofacial surgery (dentist) in 2024
23 Medicare Part D claims for 15 beneficiaries, against an average of 406 among the 5,870 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $40.84
1 payment: food and beverage; the largest payer was KLS-Martin L.P. The 4,075 providers of this specialty with any payment received $1,077.58 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Samuel Tack among 256 oral and maxillofacial surgery (dentist) records in Virginia
Samuel Tack is one of 256 oral and maxillofacial surgery (dentist) records with a practice address in Virginia. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 82% of them.
- NPI issued2017 · 82% of these records are older, 15% newer
- In a Medicare fileYes · 65% of these records are
- In the CMS Doctors and Clinicians fileNo · 8% of these records are
- Record last updated2023 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral and Maxillofacial Surgery (Dentist) providers in Virginia
There are 256 oral and maxillofacial surgery (dentist) records in Virginia.
All 256 in Virginia → Every provider in Richmond → Oral and Maxillofacial Surgery (Dentist) nationwide →
The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes
- Abdulrahman Al-Ehmeli, DDSRichmond, VA 232981609181593
- Peter Arvanitis, DDSRichmond, VA 232981639792393
- Gabriel French, DMDRichmond, VA 232981962197384
- Alexandra Glickman, DDSRichmond, VA 232981508158742
- Mohammed ObeidRichmond, VA 232981295420784
- Lucas Reed, DDSRichmond, VA 232981033797600
- Melchior Savarese, DDSRichmond, VA 232981164004453
- William Stevens, DDSRichmond, VA 232981477307734
Common questions
What is Samuel Tack's NPI number?
Samuel Tack's National Provider Identifier (NPI) is 1033658406, issued on Feb 18, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Tack located?
The NPPES record lists a practice address at 520 N 12TH St, Richmond, VA, 23298. Phone: (804) 628-7146. Providers update this record themselves, so call before visiting.
How can I verify Samuel Tack's license?
NPPES lists Virginia license number 0438000489, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
How much does Samuel Tack prescribe under Medicare Part D?
In 2024, Samuel Tack had 23 Medicare Part D claims for 15 beneficiaries; the average among oral and maxillofacial surgery (dentist) prescribers was 406. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.