Provider Demographics
NPI:1841291606
Name:ADAMS, TAMRA M
Entity type:Individual
Prefix:DR
First Name:TAMRA
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:TAMRA
Other - Middle Name:M
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:920 NORTHGATE DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3429
Mailing Address - Country:US
Mailing Address - Phone:415-472-2870
Mailing Address - Fax:415-472-2871
Practice Address - Street 1:920 NORTHGATE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3429
Practice Address - Country:US
Practice Address - Phone:415-472-2870
Practice Address - Fax:415-472-2871
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA348121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice