Tamara Kay Abbett, D.D.S.
Individual provider Active NPI Dentist · Medford, OR
NPI 1972504710 · NPPES record last updated Feb 28, 2013
Key facts
- NPI
- 1972504710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D6842 (OR)
- Practice address
- 940 Ellendale Dr
Medford, OR 97504-8216 - Phone
- (541) 779-9059
- Fax
- (541) 779-0226
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 13, 2022 through May 13, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamara K. Abbett, DDS, PC | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D6842 | OR | Yes |
Addresses
Primary practice location
940 Ellendale Dr
Medford, OR 97504-8216
Mailing address
940 Ellendale Dr
Medford, OR 97504-8216
Phone (541) 779-9059
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.