Individual
TANNER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 1ST AVE N, GREAT FALLS, MT 59401-2606
(406) 454-1512
Mailing address
910 1ST AVE N, GREAT FALLS, MT 59401-2606
(406) 454-1512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-28367
MT
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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