| Tamara Lyn Dunlap Dds Pllc | |
|
310 Jansen Ave Johnstown NY 12095-1909 | |
| (518) 762-4321 | |
| (518) 762-4323 |
| Full Name | Tamara Lyn Dunlap Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Jansen Ave, Johnstown, New York |
| Authorized Official Name and Position | Tamara Dunlap (OWNER/PROVIDER) |
| Authorized Official Contact | 5187624321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Lyn Dunlap Dds Pllc 310 Jansen Ave Johnstown NY 12095-1909 Ph: (518) 762-4321 | Tamara Lyn Dunlap Dds Pllc 310 Jansen Ave Johnstown NY 12095-1909 Ph: (518) 762-4321 |
| NPI Number | 1942676606 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942676606 | NPI | - | NPPES |
| 03016277 | Medicaid | NY | |
| 9210579 | Other | NY | DENTAQUEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048515 (New York) | Primary |