Nicholas J Tanner in Idaho Falls - General Practice
Nicholas J Tanner - NPI 1811157001
Nicholas J Tanner is a General Practice in Idaho Falls, Idaho. Nicholas J Tanner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nicholas J Tanner is 1811157001. The last update date is 2008-06-11.
Nicholas J Tanner's current location address is 640 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085235400 and fax number 2085280565. The mailing address for Nicholas J Tanner is 640 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas J Tanner |
|---|---|
| Address | 640 S Woodruff Ave, Idaho Falls, Idaho |
| Phone Number | 2085235400 |
| Fax Number | 2085280565 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1811157001 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 640 S Woodruff Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834015299 |
| Phone Number | 2085235400 |
| Fax Number | 2085280565 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D4138 |
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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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Post Comment/ Review Below
What is the Nicholas J Tanner's 1811157001?
The Nicholas J Tanner's NPI (National Provider Identifier) Number is 1811157001. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Nicholas J Tanner is physically located?
The Nicholas J Tanner is situated at the following address: 640 S Woodruff Ave, Idaho Falls, ID 834015299.
What is Nicholas J Tanner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nicholas J Tanner is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811157001 to Nicholas J Tanner?
The Centers for Medicare & Medicaid Services originally issued the 1811157001 to Nicholas J Tanner on 2008-06-11.
When was the information regarding Nicholas J Tanner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicholas J Tanner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-11.
NPI Number: 1528061710
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