Provider Demographics
NPI:1821185497
Name:BEGAY, TAMANA DOLLICIA (DDS)
Entity Type:Individual
Prefix:MS
First Name:TAMANA
Middle Name:DOLLICIA
Last Name:BEGAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6724 AVENAL AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2344
Mailing Address - Country:US
Mailing Address - Phone:503-412-9892
Mailing Address - Fax:
Practice Address - Street 1:2950 INTERNATIONAL BLVD.
Practice Address - Street 2:DENTAL DEPT
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601
Practice Address - Country:US
Practice Address - Phone:510-535-4450
Practice Address - Fax:510-535-4494
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA537591223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health