# DR. DANIEL LEE TANNEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154094159
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13427199-9926 | UT | Yes |
| 122300000X | Dentist | 37309 | TX | — |

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 08/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1543552158 | DOD | — |