Nicholas Tanner, D.D.S

NPI 1811157001 · on the registry since 2008

Practice

Address: 640 S Woodruff Ave
Idaho Falls, ID 83401
Phone: (208) 523-5400
Fax: (208) 528-0565
Organisation at this address: Salt Lake City Vamc
Eagle Rock Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-06-11

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 Idaho