Shauna Tanner, D.D.S.

NPI #1497076715 in Marion, Arkansas

Provider Information

NPI Number: 1497076715
Entity Type: Individual
Name: Shauna Tanner, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 22, 2010
Last Updated: Sep 3, 2013

Practice Location

Address: 303 BANCARIO
Address 2: STE #11-12
City: Marion
State: Arkansas
ZIP Code: 72364-2825
Phone: (870) 739-2992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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