TAMARA EATON DDS PC NPI 1245605542

NPI Information

  • NPI: 1245605542
  • Provider Name: TAMARA EATON DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1213 E COOLSPRING AVE
    MICHIGAN CITY, IN
    ZIP 46360
  • Phone: (219) 872-9151

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NPI Details

TAMARA EATON DDS PC is a general practice dentist in Michigan City, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TAMARA EATON DDS PC NPI is 1245605542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1213 E COOLSPRING AVE
MICHIGAN CITY, IN
ZIP 46360-319
Phone: (219) 872-9151
Fax: (219) 873-3341

The provider's authorized official is Candace Wilde .
The authorized official title is Practice Administrator and has the following contact phone number (219) 210-3495.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12009857AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200384300AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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