Michael M Tanner, Dds, PC
NPI #1497929004 in Overland Park, Kansas
Provider Information
- NPI Number
- 1497929004
- Entity Type
- Organization
- Organization Name
- Michael M Tanner, Dds, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 15, 2008
- Last Updated
- Apr 15, 2008
Practice Location
- Address
- 10400 W 103RD ST
- Address 2
- SUITE 21
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66214-2640
- Phone
- (913) 722-0610
Authorized Official
- Name
- CYNTHIA ELLIOTT, DDS
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (913) 722-0610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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