Russell, Tamara Dunn
Russell, Tamara Dunn is an individual health care provider with primary practice located at 16 Felton Pl # B , Cartersville GA 30120-2152. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Russell, Tamara Dunn can be contacted via phone (770) 382-3536.Contact Information
Primary practice address
16 Felton Pl # B
Cartersville GA 30120-2152
Phone: (770) 382-3536
Fax: (770) 382-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN011041 | Georgia |
Profile Details
| NPI number | 1922166164 |
|---|---|
| LBN Legal business name | Russell, Tamara Dunn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922166164 | NPPES |
| Georgia | Other | 100299 | AVESIS MEDICAID |
| Georgia | Other | 9181142 | AVESIS MEDICAID |
| Georgia | MEDICAID | 00945128A | AVESIS MEDICAID |
Popular Providers
-
Murphy, Byron Lee
16B Felton Place , Cartersville GA 30120 -
Guijon, John Andrew
18700 Main St Ste 210, Huntington Beach CA 92648-1714 -
Booker, Jovas C.
16 Felton Pl Unit B , Cartersville GA 30120-2182 -
Phrydas, Peter Arthur
16 Felton Pl # B , Cartersville GA 30120-2152 -
Eichel, David Alan
650 Henderson Dr Ste 205 , Cartersville GA 30120-3756 -
Rowley, Scott T
615 N F St , Aberdeen WA 98520-2657 -
Dominique, Paul
16B Felton Pl , Cartersville GA 30120-2152 -
Mutschler, Mark
13908 Se Stark St Ste C, Portland OR 97233-2161