Tyson Tanner, DMD Valid NPI
Individual provider · General Practice Dentistry · Chariton, IA
- NPI
- 1124406665
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 9377 (IA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-05-18
- Last updated
- 2020-12-09
Practice location
117 N Main St
Chariton, IA 50049-1272
(641) 774-2312