TANNER GUSTAFSON
Dentist - General Practice
Active
Individual
NPI: 1669049821
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | DN122359 (GA) |
| Dentist - General Practice | 1223G0001X | Yes | 10270 (SC) |
Frequently Asked Questions
NPI 1669049821 is the National Provider Identifier for TANNER GUSTAFSON, a Dentist - General Practice provider located in Beaufort, SC. This NPI was enumerated on June 7, 2021.
TANNER GUSTAFSON practices at 27A KEMMERLIN LN, Beaufort, SC 29907.
Quick Facts
- NPI
- 1669049821
- Type
- Individual
- Enumerated
- Jun 7, 2021
- Last Updated
- May 3, 2023
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