DR. Nathan John Tanner, D.M.D.

NPI #1326181579 in Jackson, Wyoming

Provider Information

NPI Number
1326181579
Entity Type
Individual
Name
DR. Nathan John Tanner, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Feb 15, 2007
Last Updated
Jun 3, 2021

Practice Location

Address
200 E BROADWAY AVE # 1190
State
Wyoming
ZIP Code
83001-8634
Phone
(307) 733-5222

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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