DR. NATHAN TANNER, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1326181579
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | D7768 (OR) |
| Dentist - General Practice | 1223G0001X | Yes | WY1538 (WY) |
Frequently Asked Questions
NPI 1326181579 is the National Provider Identifier for DR. NATHAN TANNER, D.M.D., a Dentist - General Practice provider located in Jackson, WY. This NPI was enumerated on February 15, 2007.
DR. NATHAN TANNER, D.M.D. practices at 200 E BROADWAY AVE # 1190, Jackson, WY 83001.
Quick Facts
- NPI
- 1326181579
- Type
- Individual
- Enumerated
- Feb 15, 2007
- Last Updated
- Jun 3, 2021
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