Individual provider · Type 1 NPI

Tanner Brunnworth, DMD

Dentist · Crestview, FL

NPI number 1508422197 Active

Practice location

101 4th Ave Ste D
Crestview, FL 32539-2401

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN24128 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1508422197

Tanner Brunnworth, DMD's National Provider Identifier is 1508422197, issued on May 19, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Crestview, FL. The record was last updated on Aug 6, 2023.