Provider Demographics
NPI:1295897767
Name:SEVERT, TAMMY RENEE (DDS)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:RENEE
Last Name:SEVERT
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Gender:F
Credentials:DDS
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Mailing Address - Street 1:101 CONNER DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7038
Mailing Address - Country:US
Mailing Address - Phone:919-929-2365
Mailing Address - Fax:919-967-2712
Practice Address - Street 1:101 CONNER DR
Practice Address - Street 2:SUITE 401
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7038
Practice Address - Country:US
Practice Address - Phone:919-929-2365
Practice Address - Fax:919-967-2712
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC63841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics