Provider Demographics
NPI:1215360979
Name:EL-GENDY, TAMER (DMD, BDS , MS)
Entity Type:Individual
Prefix:DR
First Name:TAMER
Middle Name:
Last Name:EL-GENDY
Suffix:
Gender:M
Credentials:DMD, BDS , MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 E COMSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1892
Mailing Address - Country:US
Mailing Address - Phone:614-209-2111
Mailing Address - Fax:
Practice Address - Street 1:3435 E COMSTOCK DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-1892
Practice Address - Country:US
Practice Address - Phone:614-209-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0081061223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics