Provider Demographics
NPI:1821557604
Name:JEAN-CHATAIGNE, TAMARRA (DMD)
Entity Type:Individual
Prefix:DR
First Name:TAMARRA
Middle Name:
Last Name:JEAN-CHATAIGNE
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 1:860 S 11TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3737
Mailing Address - Country:US
Mailing Address - Phone:409-777-4747
Mailing Address - Fax:
Practice Address - Street 1:860 S 11TH ST STE 101
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3737
Practice Address - Country:US
Practice Address - Phone:409-777-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX349131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice