Individual ProviderTammy Marie TrullardDentistDental ProvidersPractice Address2340 E Stadium Blvd, Suite 7, Ann Arbor, MI 48104-4823(734) 973-0000PECOS EnrollmentBased on the most recent information from CMS, provider Tammy Marie Trullard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1710020680Provider TypeIndividualFull NameTrullard, Tammy MarieTitleDr.CredentialD.D.S.GenderFemaleSole ProprietorNoEnumeration Date2/14/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2340 E Stadium Blvd, Suite 7, Ann Arbor, MI 48104-4823Phone(734) 973-0000Fax(734) 973-9650Mailing LocationMailing Address2340 E Stadium Blvd, Suite 7, Ann Arbor, MI 48104-4823Phone(734) 973-0000Fax(734) 973-9650Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2901014156Michigan