Individual
DR. DANIEL LEE TANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13427199-9926
UT
122300000X
Dentist
37309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1543552158
DOD
—
Enumeration date
07/27/2021
Last updated
08/05/2026
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