Provider Demographics
NPI:1194920207
Name:TOMLIN, ELIZABETH MEYERS (DDS, MS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MEYERS
Last Name:TOMLIN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:5500 PRESTON RD
Mailing Address - Street 2:SUITE 345
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-2662
Mailing Address - Country:US
Mailing Address - Phone:214-522-9700
Mailing Address - Fax:214-522-8181
Practice Address - Street 1:5500 PRESTON RD
Practice Address - Street 2:SUITE 345
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-2662
Practice Address - Country:US
Practice Address - Phone:214-522-9700
Practice Address - Fax:214-522-8181
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23291122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist