DR. THOMAS A SLACK (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1669433793

DR. THOMAS A SLACK (DDS) is a healthcare provider. based in Portage, Michigan. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials DDS. They hold a License No. 2901013823 (MI). The NPI Number for DR. THOMAS A SLACK (DDS) is 1669433793

Main info

Male
42 Years Of Experience
Name
DR. THOMAS A SLACK (DDS)
NPI
1669433793
Phone
(269) 323-1527
Address
3801 GLENKERRY CT
Enumeration Date
29 March 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Secondary Phone
2693231527
Graduation Year
1984 (42 years ago)
PAC ID
6406035799
Group Practice PAC ID
5092994384
Professional Enrollment ID
I20110119000174
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THOMAS A SLACK (DDS)

  • 3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490240718

    Phone: (269) 323-1527

    Fax: (269) 323-1670

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092994384View full group profile
NameSpecialtyState
-MI
Maxillofacial Surgery, Oral SurgeryMI
Oral Surgery, Maxillofacial SurgeryMI
Oral Surgery, Maxillofacial SurgeryIL
Oral SurgeryMI

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Frequently asked questions

Does DR. THOMAS A SLACK (DDS) have a public NPI I can cite?
Public records show DR. THOMAS A SLACK (DDS) under NPI 1669433793.
Should I treat DR. THOMAS A SLACK (DDS) as an active provider?
Patients and plans typically see DR. THOMAS A SLACK (DDS) as active in the national extract.
How should patients interpret DR. THOMAS A SLACK (DDS)'s specialty?
The extract shows Oral and Maxillofacial Surgery (Dentist) for DR. THOMAS A SLACK (DDS). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. THOMAS A SLACK (DDS)?
DR. THOMAS A SLACK (DDS) is associated with Portage, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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