Provider Demographics
NPI:1558571380
Name:CIMAND, TAMI (DMD)
Entity Type:Individual
Prefix:DR
First Name:TAMI
Middle Name:
Last Name:CIMAND
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 1:123 CARISSA CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5217
Mailing Address - Country:US
Mailing Address - Phone:954-296-0513
Mailing Address - Fax:
Practice Address - Street 1:102 CLAIR DR
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7771
Practice Address - Country:US
Practice Address - Phone:864-269-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN166861223G0001X
SC9081122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice