Individual
DR. TANNER RAY BAMFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1558 COSHOCTON AVE, MOUNT VERNON, OH 43050-5416
(740) 200-5318
Mailing address
4021 TOWNSHIP ROAD 216, MARENGO, OH 43334-9411
(614) 735-0713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027246
OH
Other
Enumeration date
05/31/2023
Last updated
06/06/2023
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