Provider Demographics
NPI:1255595765
Name:SAINT AMAND, TANIA (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:
Last Name:SAINT AMAND
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 AUGUSTA BLVD APT 7
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-7515
Mailing Address - Country:US
Mailing Address - Phone:561-350-7264
Mailing Address - Fax:
Practice Address - Street 1:20475 BISCAYNE BLVD
Practice Address - Street 2:# 9
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1550
Practice Address - Country:US
Practice Address - Phone:305-935-4030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL172771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics