Dr. Nathan John Tanner is a Jackson, Wyoming based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Nathan John Tanner is WY1538 for General Practice Dentistry in Wyoming. His current practice location is 200 E Broadway Ave # 1190, Jackson. Patients can reach him at 307-733-5222.
Dr. Nathan John Tanner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Nathan John Tanner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Nathan John Tanner
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
200 E Broadway Ave # 1190, Jackson, Wyoming, 83001-8634
Phone:
307-733-5222
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 are as mentioned below.
NPI Number:
1326181579
NPI Enumeration Date:
15 Feb, 2007
NPI Last Update On:
03 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nathan John Tanner are as mentioned below.
License Number
Specialization
State
Status
WY1538
General Practice Dentistry
Wyoming
Primary
D7768
Dentistry
Oregon
Secondary
1538
General Practice Dentistry
Wyoming
Secondary
4200
General Practice Dentistry
Montana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nathan John Tanner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
154182000
Medicaid
Wyoming
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1190, Jackson, Wyoming
Zip:
83001-1190
Phone Number:
307-733-2555
Fax Number:
307-733-2552
Patients can reach Dr. Nathan John Tanner at 200 E Broadway Ave # 1190, Jackson, Wyoming or can call to book an appointment on 307-733-5222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.