| Tanner B. Gregory, D.d.s.,p.l.l.c. | |
|
3302 64th St Ste B Lubbock TX 79413-5743 | |
| (806) 792-4889 | |
| Not Available |
| Full Name | Tanner B. Gregory, D.d.s.,p.l.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3302 64th St Ste B, Lubbock, Texas |
| Authorized Official Name and Position | Kim Wideman (OFFICE MANAGER/BOOKKEEPER) |
| Authorized Official Contact | 8067924889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner B. Gregory, D.d.s.,p.l.l.c. 3302 64th St Ste B Lubbock TX 79413-5743 Ph: (806) 792-4889 | Tanner B. Gregory, D.d.s.,p.l.l.c. 3302 64th St Ste B Lubbock TX 79413-5743 Ph: (806) 792-4889 |
| NPI Number | 1790445872 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790445872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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