Individual
DR. NATHAN M TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
725 N 5TH ST STE 101, JACKSONVILLE, OR 97530
(541) 862-1848
(541) 474-5005
Mailing address
2288 WILLIAMS HWY, GRANTS PASS, OR 97527
(541) 862-1848
(541) 474-5005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8947
OR
Other
Enumeration date
08/05/2007
Last updated
03/29/2016
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