Active NPIIndividual provider

Dr. Tawana M Medlin, DDS

Dentist, General Practice in Berlin, New Jersey

NPI Number1730300039
Practice location
19 Harker Ave, Berlin, NJ 08009-2331
Fax
—
Last updated
September 2, 2026

Tawana M. Medlin is a Dentist, General Practice based in Berlin, NJ. Tawana M. Medlin practices in Berlin, NJ and has the professional credentials of DDS. The NPI Number for Tawana M. Medlin is 1730300039 and holds a License No. 22DI02944300 (NJ). The current practice location address for Tawana M. Medlin is 19 Harker Ave, Berlin, NJ 08009-2331 and can be reached out via phone at 856-768-3332.

Provider Profile Details

NPI Number
1730300039
Provider Name
Tawana M. Medlin
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
19 Harker Ave, Berlin, NJ 08009-2331
Phone Number
856-768-3332
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 2, 2007
Last Update Date
September 2, 2026
Certification Date
September 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Harker Ave
Berlin, NJ 08009-2331
City
Berlin
Zip
08009-2331
Phone Number
856-768-3332
Berlin, NJ 08009Get directions →

Provider Business Mailing Address Details

Address
19 Harker Ave
Berlin, NJ 08009-2331
City
Berlin
State
NJ
Zip
08009-2331
Phone Number
856-768-3332

License Information

License Number (1)
22DI02944300
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
G1-0001168
License State (2)
DE
Taxonomy (2)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tawana M Medlin, DDS?

The NPI number of Dr. Tawana M Medlin, DDS is 1730300039. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Tawana M Medlin, DDS?

Dr. Tawana M Medlin, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02944300.

Where does Dr. Tawana M Medlin, DDS practice?

The practice location is 19 Harker Ave, Berlin, NJ 08009-2331. The office can be reached at 856-768-3332 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730300039 directly on the NPPES registry website.

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