| Tanner Seago, Dmd, Llc | |
|
1613 Kinneys Ln Portsmouth OH 45662-3115 | |
| (614) 315-0160 | |
| Not Available |
| Full Name | Tanner Seago, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1613 Kinneys Ln, Portsmouth, Ohio |
| Authorized Official Name and Position | Tanner A Seago (OWNER) |
| Authorized Official Contact | 6143150160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Seago, Dmd, Llc 1 Tiber Way Marietta OH 45750-2911 Ph: (614) 315-0160 | Tanner Seago, Dmd, Llc 1613 Kinneys Ln Portsmouth OH 45662-3115 Ph: (614) 315-0160 |
| NPI Number | 1073169504 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073169504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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