Organization
TANNER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JACOB TANNER DDS (DENTIST)
(303) 902-5021
Entity
Organization
Contact information
Practice address
16201 E INDIANA AVE STE 5450, SPOKANE VALLEY, WA 99216-2830
(303) 902-5021
Mailing address
522 W RIVERSIDE AVE # 6541, SPOKANE, WA 99201-0580
(720) 281-9864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/24/2025
Last updated
08/08/2025
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