DR. NATHAN M TANNER (NPI# 1821289984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821289984 |
| Entity Type | Individual |
| Full Name | DR. NATHAN M TANNER |
| Credential | DMD |
| Practice Address |
725 N 5th St Ste 101 Jacksonville OR 97530 |
| Mailing Address |
2288 Williams Hwy Grants Pass OR 97527 |
| Practice Telephone | 5418621848 |
| Practice Fax Number | 5414745005 |
| Mailing Telephone | 5418621848 |
| Mailing Fax Number | 5414745005 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8947 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326181579 | Nathan John Tanner | Dentist | 200 E Broadway Ave # 1190, Jackson, WY 83001-8634 | 2007-02-15 |
| 1467081323 | Nathan Vern Tanner | Student in an Organized Health Care Education/Training Program | 1000 E Dove Ave, Mcallen, TX 78504-3974 | 2020-04-03 |
| 1497905103 | Nathan Shawn Tanner | Physical Therapist | 2500 S Power Rd, #123, Mesa, AZ 85209-6686 | 2008-09-30 |
| Street Address |
725 N 5TH ST STE 101 |
| City | JACKSONVILLE |
| State | OR |
| Zip Code | 97530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083112957 | Cody Moss | Chiropractor | 660 G St Ste A, Jacksonville, OR 97530 | 2018-01-25 |
| 1659819621 | Denise Alane Davis | Nurse Practitioner | 115 Ponderosa Way, Jacksonville, OR 97530 | 2017-02-09 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| 1023444502 | Rebecca Lynne Giudili | Behavioral Analyst | 1425 Humbug Ck Rd, Jacksonville, OR 97530 | 2013-09-17 |
| 1487922381 | Ashley Rose Merrill | Midwife | 235 E. Main St., Jacksonville, OR 97530 | 2011-12-06 |
| 1518135334 | Lynn Ellen Reordan | Physical Therapist | 635 N. 5th St., Jacksonville, OR 97530 | 2008-02-14 |
| 1467667139 | Diana K Helvey | Denturist | 590 Blackstone Alley, Jacksonville, OR 97530 | 2007-05-14 |
| 1902027295 | Michelle Dawn Bienick | Naprapath | 1881 Humbug Creek Rd, Applegate, OR 97530 | 2007-05-02 |
| 1821121526 | Anne Marie Vincent | Chiropractor | 7370 Hwy 238, Jacksonville, OR 97530 | 2007-03-13 |
| 1073662425 | Andrew M Watson | Family Medicine | 7208 Hwy 238, Jacksonville, OR 97530 | 2007-01-08 |
| Find all providers in zip 97530 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018424 | Sydney Fowler | Dentist | 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 | 2020-09-21 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1659923118 | San Jose Aspen Pllc | Dentist | 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 | 2019-07-15 |
| 1326603176 | Evens Family Dental | Dentist | 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 | 2019-05-07 |
| 1487123006 | Susan Prater Kudlats, D.m.d, P.a. | Dentist | 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 | 2018-11-14 |
| 1043792534 | Atlantic Dentistry Pa | Dentist | 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 | 2018-08-31 |
| 1447738620 | Argyle Dental Pllc | Dentist | 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 | 2018-07-31 |
| 1427534445 | Sandeep Chunduru | Dentist | 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 | 2018-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 97530 |
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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.