Provider Demographics
NPI:1366774549
Name:GATREY, TABITHA JARMAN (DMD)
Entity type:Individual
Prefix:DR
First Name:TABITHA
Middle Name:JARMAN
Last Name:GATREY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:TABITHA
Other - Middle Name:LERNETT
Other - Last Name:JARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:5751 POCAHONTAS ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022
Mailing Address - Country:US
Mailing Address - Phone:205-230-9000
Mailing Address - Fax:
Practice Address - Street 1:5751 POCAHONTAS ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022
Practice Address - Country:US
Practice Address - Phone:205-230-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL56471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry