Healthcare Provider Details

I. General information

NPI: 1144916636
Provider Name (Legal Business Name): TAMARA BIARY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KNEELAND ST DEPT OF ENDODONTICS TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
BOSTON MA
02111-1527
US

IV. Provider business mailing address

ONE KNEELAND ST TUFTS UNIVERSITY SCHOOL OF DENT MED, DEPT ENDODONTICS
BOSTON MA
02111-1116
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-6828
  • Fax:
Mailing address:
  • Phone: 617-636-6889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN1859770
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1859770
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: