Tanner Brunnworth, DMD
NPI 1508422197 · on the registry since 2019 · sole proprietor
Practice
- Address
- 101 4th Ave Ste D
Crestview, FL 32539 - Phone
- (850) 683-3544
- Organisation at this address
- Kids Dental Place
Turgeon Enterprises Llc
Panhandle Sleep Dentistry Llc
Pax Cardiovascular Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida