| Tanager Family Dentistry, Llc | |
|
10203 Tanager Ln Ste 101 Columbia MD 21044-4171 | |
| (443) 896-0002 | |
| (443) 896-0012 |
| Full Name | Tanager Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10203 Tanager Ln Ste 101, Columbia, Maryland |
| Authorized Official Name and Position | Lisa Pyun (OWNER, GENERAL DENTIST) |
| Authorized Official Contact | 4438960002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanager Family Dentistry, Llc 10203 Tanager Ln Ste 101 Columbia MD 21044-4171 Ph: (443) 896-0002 | Tanager Family Dentistry, Llc 10203 Tanager Ln Ste 101 Columbia MD 21044-4171 Ph: (443) 896-0002 |
| NPI Number | 1902533631 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Medicare PECOS PAC ID | 8729445846 |
|---|---|
| Medicare Enrollment ID | O20230606000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902533631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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