Tanner J. Mckenna D.D.S.

NPI 1033111513 - Dentist - 1223G0001X

NPI Details
NPI 1033111513
Gender Male
Enumeration Date 08/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1410 NORTHPORT DR
MADISON WI, 53704-2041, US
Phone (608) 244-3410
Fax (608) 244-1915
Business Location
1410 NORTHPORT DR
MADISON WI, 53704-2041, US
Phone (608) 244-3410
Fax (608) 244-1915
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5691-015
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According to our database, Dr. Tanner J. Mckenna D.D.S. NPI is 1033111513, taxonomy code is 1223G0001X and license number is 5691-015, license state is located at Wisconsin. Tanner J. Mckenna D.D.S. physically located at 1410 Northport Dr, Madison WI, 53704-2041. NPI Number Tanner J. Mckenna D.D.S. has the Individual type.

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1033111513 NPI number is provided on an as is basis without warranty of any kind. 1033111513 is maintained by the National Plan & Provider Enumeration System. The contents of Tanner J. Mckenna D.D.S. are for informational purposes only.