DR. Nathan M Tanner, DMD

NPI #1821289984 in Jacksonville, Oregon

Provider Information

NPI Number: 1821289984
Entity Type: Individual
Name: DR. Nathan M Tanner, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 5, 2007
Last Updated: Mar 29, 2016

Practice Location

Address: 725 N 5TH ST STE 101
City: Jacksonville
State: Oregon
ZIP Code: 97530
Phone: (541) 862-1848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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