MEDICARE: ESTHER TAM DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	20991	MA
2	1223E0200X	Endodontics	29563	TX

General Provider Information

NPI Number	:	1477614345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER TAM DMD

Provider Business Mailing Address
First Line	:	5800 COIT RD
Second Line	:	SUITE 200
City	:	PLANO
State	:	TX
Zip	:	75023-5942
Country	:	US
Telephone Number	:	972-596-9400
Fax Number	:	972-612-2068

Provider Business Practice Location Address
First Line	:	5800 COIT RD
Second Line	:	SUITE 200
City	:	PLANO
State	:	TX
Zip	:	75023-5942
Country	:	US
Telephone Number	:	972-596-9400
Fax Number	:	972-612-2068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/30/2014

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Directions to “ ESTHER TAM DMD” Practice Location

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