Individual
RICHARD J TANANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12000 OLD VINE BLVD UNIT 112, LEWES, DE 19958-1717
(302) 645-4726
(302) 485-5863
Mailing address
12000 OLD VINE BLVD UNIT 112, LEWES, DE 19958-1717
(302) 645-4726
(302) 485-5863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001134
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000179548
UNITED CONCORDIA
DE
Enumeration date
03/05/2007
Last updated
05/12/2026
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