Provider Demographics
NPI:1275525792
Name:BYAM, RENEE LASHAWN (DENTAL HYGIENIST)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:LASHAWN
Last Name:BYAM
Suffix:
Gender:
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH, BASDH
Mailing Address - Street 1:3711 VINECREST DR
Mailing Address - Street 2:
Mailing Address - City:KIRBY
Mailing Address - State:TX
Mailing Address - Zip Code:78219-1436
Mailing Address - Country:US
Mailing Address - Phone:757-403-9941
Mailing Address - Fax:
Practice Address - Street 1:NAVY MEDICINE TRAINING SUPPORT COMMAND/NDAC
Practice Address - Street 2:2931 HARNEY PATH RD.
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-808-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0402206446124Q00000X
124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist