Provider Demographics
NPI:1548903297
Name:TOMPKINS, DEVIN DANIELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:DANIELLE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 S 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-3544
Mailing Address - Country:US
Mailing Address - Phone:817-996-3282
Mailing Address - Fax:
Practice Address - Street 1:208 CRESTWAY ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-2117
Practice Address - Country:US
Practice Address - Phone:903-675-3811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX38663122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program