Healthcare Provider Details

I. General information

NPI: 1336660752
Provider Name (Legal Business Name): MEGHAN MARIE TAMASKA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 S SMITHVILLE RD
KETTERING OH
45420-1534
US

IV. Provider business mailing address

9350 ROCHELLE LN
DAYTON OH
45458-4356
US

V. Phone/Fax

Practice location:
  • Phone: 937-253-9115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number30-026696
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: