| Michael M Tanner, Dds, Pc | |
|
10400 W 103rd St Suite 21 Overland Park KS 66214-2640 | |
| (913) 722-0610 | |
| (913) 722-2893 |
| Full Name | Michael M Tanner, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10400 W 103rd St, Overland Park, Kansas |
| Authorized Official Name and Position | Cynthia Elliott (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 9137220610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M Tanner, Dds, Pc 10400 W 103rd St Suite 21 Overland Park KS 66214-2640 Ph: (913) 722-0610 | Michael M Tanner, Dds, Pc 10400 W 103rd St Suite 21 Overland Park KS 66214-2640 Ph: (913) 722-0610 |
| NPI Number | 1497929004 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497929004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6035 (Kansas) | Primary |
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