Organization · Type 2 NPI
Nathan Tanner PC
Dental Clinic/Center · Jackson, WY
NPI number
1144862293
Active
Practice location
200 E Broadway
Jackson, WY 83001
Mailing address
PO Box 1190
Jackson, WY 83001-1190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1144862293
Nathan Tanner PC's National Provider Identifier is 1144862293, issued on Oct 10, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jackson, WY. The record was last updated on Oct 10, 2019.