Individual
JEFFREY DAVID TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
244 S SCRAPER ST, VINITA, OK 74301-3740
(644) 191-8256
Mailing address
244 S SCRAPER ST, VINITA, OK 74301-3740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000
OK
Other
Enumeration date
01/14/2025
Last updated
03/02/2026
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