Gray, Tanner
Gray, Tanner is an individual health care provider with primary practice located at Building 20, Santa Fe Dr , Holloman Afb NM 88330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gray, Tanner can be contacted via phone (575) 572-8099.Contact Information
Primary practice address
Building 20, Santa Fe Dr
Holloman Afb NM 88330
Phone: (575) 572-8099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12322243-8903 | Utah |
| Dental Providers / General Practice | 1223G0001X | 12322243-9922 | Utah |
Profile Details
| NPI number | 1114509080 |
|---|---|
| LBN Legal business name | Gray, Tanner |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2021 |
| Last updated | Aug 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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