Individual
TAMERA PAGE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3276
NM
1223G0001X
General Practice Dentistry
DD3279
NM
1223P0221X
Pediatric Dentistry
Primary
DD3276
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90574371
—
NM
Enumeration date
04/26/2010
Last updated
01/30/2026
Update your record
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