Provider Demographics
NPI:1992966444
Name:TUMA, ANDREA M (RDH)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:TUMA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:M
Other - Last Name:OHNSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82602-1710
Mailing Address - Country:US
Mailing Address - Phone:307-233-6000
Mailing Address - Fax:307-235-6202
Practice Address - Street 1:1020 S CONWELL ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-3921
Practice Address - Country:US
Practice Address - Phone:307-233-6000
Practice Address - Fax:307-233-6089
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY882124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist