MEDICARE: LORENA TADDEI SA DDS, MSD

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	122300000X	Dentist	24755	TX
2	1223G0001X	General Practice Dentistry	DN013108	GA
3	1223G0001X	General Practice Dentistry	24755	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316058431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENA TADDEI SA DDS, MSD

Provider Business Mailing Address
First Line	:	2916 N US HIGHWAY 75 STE 900-A
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-2546
Country	:	US
Telephone Number	:	903-487-0349
Fax Number	:

Provider Business Practice Location Address
First Line	:	2916 N US HIGHWAY 75 STE 900-A
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-2546
Country	:	US
Telephone Number	:	903-487-0349
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/05/2025

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Directions to “ LORENA TADDEI SA DDS, MSD” Practice Location

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