Suzanne Conley Tack, DDS
NPI 1184880940ActiveIndividual· Dentist, General Practice· Thiensville, WI
Dentist, General Practice (DDS) in Thiensville, Wisconsin, licensed in WI, with an NPI issued in July 2008. Part D covered 36 prescriptions written in 2024, 81% of them generic. Align Technology, Inc. reported $3.97 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1184880940 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 31, 2008 |
| Last updated in NPPES | Aug 31, 2022 |
| Certified by provider | Aug 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6252-015 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Other (Physician) (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 36 · 38 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $190.31 |
| Generic share | 81% of claims |
Industry payments (Open Payments)
- 2025$3.97 · 1 payment from 1 company
- 2024$5.10 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Align Technology, Inc. | $3.97 | 1 |
What the 2025 payments were for
- Food and Beverage$3.97 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Thiensville
- 1295944619
- 1962614446
- 1558473264