John Everett Tanner DDS

NPI 1669504049 - Dentist - 1223G0001X

NPI Details
NPI 1669504049
Gender Male
Enumeration Date 03/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2701 BLOOMINGDALE RD
KINGSPORT TN, 37660-1854, US
Phone (423) 288-8566
Fax
Business Location
2701 BLOOMINGDALE RD
KINGSPORT TN, 37660-1854, US
Phone (423) 288-8566
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS 4374
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According to our database, Dr. John Everett Tanner DDS NPI is 1669504049, taxonomy code is 1223G0001X and license number is DS 4374, license state is located at Tennessee. John Everett Tanner DDS physically located at 2701 Bloomingdale Rd, Kingsport TN, 37660-1854. NPI Number John Everett Tanner DDS has the Individual type.

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1669504049 NPI number is provided on an as is basis without warranty of any kind. 1669504049 is maintained by the National Plan & Provider Enumeration System. The contents of John Everett Tanner DDS are for informational purposes only.