Individual
DR. BENJAMIN FRANKLIN TANNER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 HUXFORD ST, HOMERVILLE, GA 31634-2357
(912) 487-5271
Mailing address
114 HUXFORD ST, HOMERVILLE, GA 31634-2357
(912) 487-5271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013182
GA
Other
Enumeration date
06/27/2007
Last updated
01/25/2013
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