Organization
TANNER SEAGO, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER A SEAGO DMD (OWNER)
(614) 315-0160
Entity
Organization
Contact information
Practice address
1613 KINNEYS LN, PORTSMOUTH, OH 45662-3115
(614) 315-0160
Mailing address
1 TIBER WAY, MARIETTA, OH 45750-2911
(614) 315-0160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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