# TANNER DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841092780
- **Authorized official:** STEVEN JACOB TANNER DDS (DENTIST)
- **Authorized official phone:** (303) 902-5021

## Contact information

- **Practice address:** 16201 E INDIANA AVE STE 5450, SPOKANE VALLEY, WA 99216-2830
- **Practice address phone:** (303) 902-5021
- **Mailing address:** 522 W RIVERSIDE AVE \# 6541, SPOKANE, WA 99201-0580
- **Mailing address phone:** (720) 281-9864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 08/08/2025