Provider Demographics
NPI:1770609349
Name:ERRATT, TAMIE (DDS)
Entity type:Individual
Prefix:
First Name:TAMIE
Middle Name:
Last Name:ERRATT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TAMIE
Other - Middle Name:
Other - Last Name:ERRATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3832 S TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3712
Mailing Address - Country:US
Mailing Address - Phone:979-846-3101
Mailing Address - Fax:
Practice Address - Street 1:3832 S TEXAS AVE
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3712
Practice Address - Country:US
Practice Address - Phone:979-846-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice