Nathan John Tanner, D.M.D.
General Practice Dentistry · Jackson, WY
Practice location
200 E Broadway Ave # 1190Jackson, WY 83001-8634
- Phone
- (307) 733-5222
NPI record
- NPI
- 1326181579
- Entity type
- Individual (Type 1)
- Enumeration date
- February 15, 2007
- Last updated
- June 3, 2021
- Certified
- June 3, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
WY1538 | WY |
| Dentist | 122300000X |
D7768 | OR |
| General Practice Dentistry | 1223G0001X |
1538 | WY |
| General Practice Dentistry | 1223G0001X |
4200 | MT |
Mailing address
PO Box 1190Jackson, WY 83001-1190
- Phone
- (307) 733-2555
- Fax
- (307) 733-2552
About Dr. Tanner
Nathan John Tanner, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 200 E Broadway Ave # 1190, Jackson, WY 83001-8634. The NPI number 1326181579 was assigned on February 15, 2007 and the record was last updated on June 3, 2021.
Dr. Tanner lists 4 licenses in the registry: #WY1538 (WY) for General Practice Dentistry; #D7768 (OR) for Dentist; #1538 (WY) for General Practice Dentistry; #4200 (MT) 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 Nathan John Tanner, D.M.D.?
The NPI number is 1326181579.
What is the phone number of Dr. Tanner?
The phone number listed for the practice location is (307) 733-5222.
Where is Dr. Tanner located?
200 E Broadway Ave # 1190, Jackson, WY 83001-8634.
What is the taxonomy code for Dr. Tanner?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 3 more listed above.
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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