Richard J. Tananis, D.d.s., L.l.c. | |
30599 Sussex Hwy Unit #3 Laurel DE 19956-4417 | |
(302) 875-4271 | |
(302) 875-9441 |
Full Name | Richard J. Tananis, D.d.s., L.l.c. |
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Speciality | Dentist - General Practice |
Location | 30599 Sussex Hwy, Laurel, Delaware |
Authorized Official Name and Position | Richard J Tananis (DENTIST) |
Authorized Official Contact | 3028754271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard J. Tananis, D.d.s., L.l.c. 30599 Sussex Hwy Unit #3 Laurel DE 19956-4417 Ph: (302) 875-4271 | Richard J. Tananis, D.d.s., L.l.c. 30599 Sussex Hwy Unit #3 Laurel DE 19956-4417 Ph: (302) 875-4271 |
NPI Number | 1497884357 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1497884357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2005210238 (Delaware) | Primary |