1205240819 NPI number — DR. TAMEKA NICOLE ATTAWAY D.D.S.

Table of content: DR. TAMEKA NICOLE ATTAWAY D.D.S. (NPI 1205240819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205240819 NPI number — DR. TAMEKA NICOLE ATTAWAY D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ATTAWAY
Provider First Name:
TAMEKA
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205240819
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2120 KELLER AVE
Provider Second Line Business Mailing Address:
NONE
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28216-4632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-392-9357
Provider Business Mailing Address Fax Number:
704-392-9304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2120 KELLER AVE
Provider Second Line Business Practice Location Address:
NONE
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28216-4632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-392-9357
Provider Business Practice Location Address Fax Number:
704-392-9304
Provider Enumeration Date:
06/12/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  9772 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com