Healthcare Provider Details

I. General information

NPI: 1326257650
Provider Name (Legal Business Name): BARBARA MARTIN TATUM D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10630 LITTLE PATUXENT PKWY SUITE 100
COLUMBIA MD
21044-3264
US

IV. Provider business mailing address

10630 LITTLE PATUXENT PKWY SUITE 100
COLUMBIA MD
21044-3264
US

V. Phone/Fax

Practice location:
  • Phone: 410-730-8330
  • Fax: 410-992-4095
Mailing address:
  • Phone: 410-730-8330
  • Fax: 410-992-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number6329
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number6329
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: