Provider Demographics
NPI:1427285840
Name:ARTIS, TAMMY I (DDS)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:I
Last Name:ARTIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 AMOS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-3775
Mailing Address - Country:US
Mailing Address - Phone:336-375-0378
Mailing Address - Fax:
Practice Address - Street 1:2430 S CHURCH ST
Practice Address - Street 2:SUITE B
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5202
Practice Address - Country:US
Practice Address - Phone:336-513-4474
Practice Address - Fax:336-513-4475
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC87561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice