Kevin Tanner in Citrus Heights - General Practice
Kevin Tanner - NPI 1962531806
Kevin Tanner is a General Practice in Citrus Heights, California. Kevin Tanner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Tanner is 1962531806. The last update date is 2008-10-02.
Kevin Tanner's current location address is 8089 Madison Ave, Citrus Heights, California. You can contact this provider via phone number 9169661473 and fax number 9169660648. The mailing address for Kevin Tanner is 8089 Madison Ave, Citrus Heights, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Tanner |
|---|---|
| Address | 8089 Madison Ave, Citrus Heights, California |
| Phone Number | 9169661473 |
| Fax Number | 9169660648 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1962531806 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2008-10-02 |
Provider Mailing Address Detail
| Address | 8089 Madison Ave |
|---|---|
| City | Citrus Heights |
| State | California (CA) |
| Post Code | 956107964 |
| Phone Number | 9169661473 |
| Fax Number | 9169660648 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30850 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 331019637 | CA | TAX ID | |
| 526523 | CA | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin Tanner by the Centers for Medicare & Medicaid Services?
The Kevin Tanner has been issued the NPI (National Provider Identifier) 1962531806, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kevin Tanner is located?
The Kevin Tanner is situated at the following address: 8089 Madison Ave, Citrus Heights, CA, 956107964.
What is the area of specialization for Kevin Tanner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Tanner is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962531806 to Kevin Tanner?
The Centers for Medicare & Medicaid Services assigned the 1962531806 to Kevin Tanner on 2007-03-05.
When was the information regarding Kevin Tanner most recently updated?
The details pertaining to the Kevin Tanner, including its address, specialty, and other relevant information, were last refreshed on 2008-10-02.