TANNER DAHL (NPI# 1700438793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700438793 |
| Entity Type | Individual |
| Full Name | TANNER DAHL |
| Credential | DMD |
| Practice Address |
1120 W Rose St Walla Walla WA 99362-1662 |
| Practice Telephone | 5095256650 |
| Practice Fax Number | 5095222349 |
| Mailing Telephone | 5095256650 |
| Mailing Fax Number | 5095222349 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60967449 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE60967449 | WA | Dental Providers |
| Street Address |
1120 W ROSE ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497732127 | Benjamin Rodriguez | Internal Medicine | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2005-12-22 |
| 1699305185 | Amanda Burks | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2020-01-23 |
| 1245882042 | Kathryn Leigh Anderson | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-11 |
| 1104487115 | Nicole Moseley-wiilliams | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-06-21 |
| 1396230470 | Kara Lynn Breymeyer | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2018-06-29 |
| 1144717331 | Laboratory Corporation of America | Clinical Medical Laboratory | 1120 W Rose St, Walla Walla, WA 99362 | 2018-04-13 |
| 1679010227 | Adrienne Hernandez | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2017-01-20 |
| 1407204811 | Benjamin Nichols | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-05-25 |
| 1023474624 | Susan Laabs | Registered Nurse | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-01-12 |
| 1619353968 | Heather Dimock | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2015-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588958995 | Ghorbanian Pllc | Dentist | 1648 Plaza Way, Walla Walla, WA 99362-4325 | 2011-06-02 |
| 1063545366 | Ronald Graham Mcentire | Dentist | 342 Catherine St, Walla Walla, WA 99362-3057 | 2007-03-14 |
| 1841387156 | Cameron Sayre Stewart | Dentist | 860 S 2nd, Suite D, Walla Walla, WA 99362-4072 | 2006-10-06 |
| 1801900840 | A S Pearson Jr Dds Ps | Dentist | 121 W Poplar Street, Suite A, Walla Walla, WA 99362 | 2006-08-18 |
| 1821544792 | Cameron S. Stewart | Dentist | 860 S 2nd Ave, Suite D, Walla Walla, WA 99362-4072 | 2016-08-30 |
| 1821449273 | Nathan E. Bushman | Dentist | 342 Catherine St, Walla Walla, WA 99362-3057 | 2016-06-28 |
| 1639542020 | Maxim Healthcare Services, Inc. | Dentist | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2015-11-05 |
| 1134475445 | Patty Lynn Martin | Dentist | 2014 S Howard St, Walla Walla, WA 99362-4532 | 2012-07-24 |
| 1023379633 | Stuart Dental LLC | Dentist | 1545 Business One Cir, Walla Walla, WA 99362-9526 | 2012-05-31 |
| 1154656684 | Rachel Deininger | Dentist | 342 Catherine St, Walla Walla, WA 99362-3057 | 2009-10-16 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.