National Provider Identifier

Tara Lynn Halliwell-Kemp, DDS, MD

Tara Lynn Halliwell-Kemp, DDS, MD is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Tonawanda, NY and a listed phone number of (716) 694-1134.

NPI 1730313768Tonawanda, NYOral and Maxillofacial Surgery (Dentist)

Profile Overview

NPI
1730313768
Provider Type
Individual
Primary Specialty
Oral and Maxillofacial Surgery (Dentist)
Enumeration Date
May 05, 2009
Last Updated
February 21, 2017

Practice Location

  • 711 Young St
  • Tonawanda, NY 14150-4112

Phone: (716) 694-1134

Specialties

  • Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
NPI
1730313768
Entity Type
Individual
Last Name
Halliwell-Kemp
First Name
Tara
Middle Name
Lynn
Name Prefix
Dr.
Credential
DDS, MD
Mailing Street Address
711 Young St
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4112
Mailing Country
US
Mailing Phone
(716) 694-1134
Mailing Fax
(716) 694-0665
Practice Street Address
711 Young St
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-4112
Practice Country
US
Practice Phone
(716) 694-1134
Practice Fax
(716) 694-0665
Enumeration Date
May 05, 2009
Last Updated
February 21, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Oral and Maxillofacial Surgery (Dentist) (1223S0112X)