Provider Demographics
NPI:1942354394
Name:SHAM TANG AND TAM PC
Entity Type:Organization
Organization Name:SHAM TANG AND TAM PC
Other - Org Name:SMILAGE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-820-7792
Mailing Address - Street 1:463 WORCESTER ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-820-7792
Mailing Address - Fax:508-872-5483
Practice Address - Street 1:463 WORCESTER ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-820-7792
Practice Address - Fax:508-872-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center