Provider Demographics
NPI:1528598612
Name:TAMAYO, RICHARD A (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:TAMAYO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:8950 SW 74TH CT STE 1610
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3175
Mailing Address - Country:US
Mailing Address - Phone:305-670-7610
Mailing Address - Fax:305-670-4950
Practice Address - Street 1:8950 SW 74TH CT STE 1610
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3175
Practice Address - Country:US
Practice Address - Phone:305-670-7610
Practice Address - Fax:305-670-4950
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL225911223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery