Provider Demographics
NPI:1073633061
Name:DAVIS, TAMEKIA YVONNE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:TAMEKIA
Middle Name:YVONNE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:TAMEKIA
Other - Middle Name:YVONNE
Other - Last Name:ROLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13152 RIPON PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6140
Mailing Address - Country:US
Mailing Address - Phone:301-627-8275
Mailing Address - Fax:
Practice Address - Street 1:13152 RIPON PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-6140
Practice Address - Country:US
Practice Address - Phone:301-627-8275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist