Jon D Tanner, Dds, Pc is a Dental Clinic in Fairbanks, Alaska. It is located at 1305 21st Ave, Suite 102, Fairbanks, AK and its contact number is 907-456-5665. The authorized person for Jon D Tanner, Dds, Pc is Jon D Tanner
who is President of the clinic and their contact number is 907-456-5665. The primary license number for Jon D Tanner, Dds, Pc is D 868 (Dentist) in Alaska. Jon D Tanner, Dds, Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Jon D Tanner, Dds, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jon D Tanner, Dds, Pc
Specialization:
Dentistry
Clinic Address:
1305 21st Ave, Suite 102, Fairbanks, Alaska, 99701-6084
Phone:
907-456-5665
Fax:
907-456-1753
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jon D Tanner
Position:
President
Contact Number:
907-456-5665
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jon D Tanner, Dds, Pc clinic are as mentioned below.
NPI Number:
1851634265
NPI Enumeration Date:
03 Apr, 2013
NPI Last Update On:
03 Apr, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jon D Tanner, Dds, Pc are as mentioned below.
Specialization
License Number
State
Status
Dentist
D 868
Alaska
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DD9416
Medicaid
Alaska
834977
Other
Alaska
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jon D Tanner, Dds, Pc 1305 21st Ave, Suite 102 Fairbanks, Alaska
Zip:
99701-6084
Phone Number:
907-456-5665
Fax Number:
907-456-1753
Patients can reach Jon D Tanner, Dds, Pc at 1305 21st Ave, Suite 102, Fairbanks, Alaska or can call to book an appointment on 907-456-5665. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.