NPI 1326181579

Nathan John Tanner, DMD

Practitioner General Practice Dentistry Jackson, WY

Practice location

Address: 200 E Broadway Ave # 1190, Jackson, WY 83001-8634
Phone: (307) 733-5222
Mailing address: PO Box 1190, Jackson, WY 83001-1190

Registered specialties (4)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence WY1538 (WY)

Other Dentist providers in Wyoming →

Dentist

Dental Providers Taxonomy 122300000X Licence D7768 (OR)

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 1538 (WY)

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 4200 (MT)

Registry record

NPI: 1326181579
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2007
Record last updated: 3 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.