Provider Demographics
NPI:1477614345
Name:TAM, ESTHER (DMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:TAM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 COIT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5942
Mailing Address - Country:US
Mailing Address - Phone:972-596-9400
Mailing Address - Fax:972-612-2068
Practice Address - Street 1:5800 COIT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5942
Practice Address - Country:US
Practice Address - Phone:972-596-9400
Practice Address - Fax:972-612-2068
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209911223E0200X
TX295631223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics