Individual provider · Type 1 NPI
Richard Iain Tann, DDS
Pediatric Dentistry · Detroit, MI
NPI number
1669722856
Active
Practice location
79 W Alexandrine St Fl 3
Detroit, MI 48201-2015
Fax (313) 576-2556
Mailing address
1479 Pope Street
Lasalle, ONTARIO N9J3R8
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 290102739 (MI) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1669722856
Richard Iain Tann, DDS's National Provider Identifier is 1669722856, issued on Sep 14, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Detroit, MI. The record was last updated on Sep 14, 2012.