Individual
ADAM THOMAS TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16960 ALICO MISSION WAY, FORT MYERS, FL 33908-4844
(631) 346-9831
Mailing address
299 NW 2ND PL, CAPE CORAL, FL 33993-2407
(631) 346-9831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28958
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
03/09/2026
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