Tanner Gray is a Holloman Afb, New Mexico based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tanner Gray is 12322243-9922 for General Practice Dentistry in Utah. His current practice location is Building 20, Santa Fe Dr, Holloman Afb. Patients can reach him at 575-572-8099.
Tanner Gray 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:
Tanner Gray 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:
Tanner Gray
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
Building 20, Santa Fe Dr, Holloman Afb, New Mexico, 88330
Phone:
575-572-8099
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:
1114509080
NPI Enumeration Date:
21 Apr, 2021
NPI Last Update On:
24 Aug, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanner Gray are as mentioned below.
License Number
Specialization
State
Status
12322243-9922
General Practice Dentistry
Utah
Primary
12322243-8903
General Practice Dentistry
Utah
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1650 E 3250 N, North Logan, Utah
Zip:
84341-1615
Phone Number:
435-770-9709
Patients can reach Tanner Gray at Building 20, Santa Fe Dr, Holloman Afb, New Mexico or can call to book an appointment on 575-572-8099. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.