MEDICARE: TAMBAY DENTAL, PA

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1730031360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMBAY DENTAL, PA

Provider Business Mailing Address
First Line	:	1904 S DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5817
Country	:	US
Telephone Number	:	813-642-4243
Fax Number	:	813-642-4342

Provider Business Practice Location Address
First Line	:	1904 S DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5817
Country	:	US
Telephone Number	:	813-642-4243
Fax Number	:	813-642-4342

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. TAMARA TAYLOR TAVAKOLI
Credential	:	DMD
Telephone Number	:	813-642-4243

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	02/14/2026

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Directions to “TAMBAY DENTAL, PA ” Practice Location

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