| Dr Andrew L Tam, DDS | |
|
5122 Hwy 53, Braselton, GA 30517 | |
| (706) 654-2492 | |
| (706) 654-3479 |
| Full Name | Dr Andrew L Tam |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 5122 Hwy 53, Braselton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053436030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 011613 (Georgia) | Primary |
| Entity Name | Oconee Valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255433736 PECOS PAC ID: 0446232268 Enrollment ID: O20040604000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew L Tam, DDS Po Box 640, 5122 Hwy 53, Braselton, GA 30517 Ph: (706) 654-2492 | Dr Andrew L Tam, DDS 5122 Hwy 53, Braselton, GA 30517 Ph: (706) 654-2492 |
Meghan Mauceri, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2625 Old Winder Hwy Ste G, Braselton, GA 30517 Phone: 706-684-0759 | |
Dr. Lee Justin Payne, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5391 Highway 53, Suite 101, Braselton, GA 30517 Phone: 706-546-1557 Fax: 678-546-1842 | |
Dr. Ken Kai Cheng, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2625 Old Winder Hwy, Suite G, Braselton, GA 30517 Phone: 706-684-0759 | |
Oluyemi Workman, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2095 Highway 211 Nw Ste 6a, Braselton, GA 30517 Phone: 770-800-1044 Fax: 770-800-7659 | |
Rebecca Hublall, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2095 Highway 211 Nw Ste 6a, Braselton, GA 30517 Phone: 770-756-8442 | |
Dr. Ilisa Beth Stern, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2095 Highway 211 Nw, Suite 6a, Braselton, GA 30517 Phone: 770-868-4288 |