Healthcare Provider Details

I. General information

NPI: 1801411509
Provider Name (Legal Business Name): TENZIN P TAMULA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 10/31/2026
Certification Date: 10/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 W CENTRAL ST
NATICK MA
01760-4514
US

IV. Provider business mailing address

14 W CENTRAL ST
NATICK MA
01760-4514
US

V. Phone/Fax

Practice location:
  • Phone: 508-720-5000
  • Fax:
Mailing address:
  • Phone: 508-720-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN1858929
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: