Clelen Clarence Tanner, DDS

General Practice Dentistry · Hayward, CA

Individual Active NPI

NPI number 1215080445

Practice location

21911 Foothill Blvd
Hayward, CA 94541-2118
Phone
(510) 733-1455
Fax
(510) 889-8395

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NPI record

NPI
1215080445
Entity type
Individual (Type 1)
Enumeration date
January 19, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 26003 CA

About Dr. Tanner

Clelen Clarence Tanner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 21911 Foothill Blvd, Hayward, CA 94541-2118. The NPI number 1215080445 was assigned on January 19, 2007 and the record was last updated on July 8, 2007.

Dr. Tanner lists a license in the registry: #26003 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clelen Clarence Tanner, DDS?

The NPI number is 1215080445.

What is the phone number of Dr. Tanner?

The phone number listed for the practice location is (510) 733-1455.

Where is Dr. Tanner located?

21911 Foothill Blvd, Hayward, CA 94541-2118.

What is the taxonomy code for Dr. Tanner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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