Provider Demographics
NPI:1437464633
Name:SCHILLER, TAMAR (DDS, MBA)
Entity Type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:DDS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 HENRY HUDSON PARKWAY
Mailing Address - Street 2:APT 2O
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3290
Mailing Address - Country:US
Mailing Address - Phone:914-837-0699
Mailing Address - Fax:
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:VC 8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-9054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055842-1122300000X
NJ22DI02454500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist