| Dr Daniel Lee Tannen, DDS | |
|
224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 | |
| (575) 784-4041 | |
| Not Available |
| Full Name | Dr Daniel Lee Tannen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154094159 | NPI | - | NPPES |
| 1543552158 | Other | DOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37309 (Texas) | Secondary |
| 122300000X | Dentist | 13427199-9926 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Lee Tannen, DDS 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (575) 784-4041 | Dr Daniel Lee Tannen, DDS 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (575) 784-4041 |
Dustin York, Dentist Medicare: Not Enrolled in Medicare Practice Location: 224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 Phone: 575-784-2778 | |
Matthew John Nielsen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 Phone: 575-784-4041 | |
Dr. Douglas C. Holmes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-904-3948 | |
Bryon Alger, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-4041 |