Tarem Eric Hendricks, DMD
Individual provider Active NPI General Practice Dentistry · Warner Robins, GA
NPI 1093882136 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1093882136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN012345 (GA)
- Practice address
- 98 Cohen Walker Dr
Warner Robins, GA 31088-0744 - Phone
- (478) 218-2000
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012345 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colton Dental Group | Past | Accepting new patients | |
| Baldwin County Health Department | Past |
Accepting new patients | |
| Jones County Health Department | Past |
Accepting new patients | |
| Houston County Health Department | Past | Accepting new patients | |
| Crawford County Health Department | Past |
Accepting new patients | |
| County of Hancock Health Department | Past |
Accepting new patients | |
| County of Monroe Health Department | Past |
Accepting new patients | |
| Putnam County Board of Health | Past |
Accepting new patients | |
| Macon-Bibb County Health Department | Past | Accepting new patients | |
| Washington County Board of Health | Past |
Accepting new patients | |
| Peach County Board of Health | Past |
Accepting new patients | |
| County of Jasper Health Department | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012345 | GA | Yes |
Addresses
Primary practice location
98 Cohen Walker Dr
Warner Robins, GA 31088-0744
Mailing address
98 Cohen Walker Dr
Warner Robins, GA 31088-0744
Phone (478) 218-2000
Other practice location 1
655 7th St
Warner Robins, GA 31098-2227
Phone (478) 327-8487
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000982121B | Medicaid | GA |
Other providers in Warner Robins, GA
- Naomi Ruth Heath
- Josh Heffernan
- Hello Life Counseling Collective Inc
- Michael A. Hellwege
- Angel Helms
- Matthew Thomas Henry
- Florence Michelle Henson
- Caroline Ashley Newman Herndon
- Chailyn A Hicks
- Euniece Hicks
All providers in Warner Robins, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.