Mckenna, Tanner J.
Mckenna, Tanner J. is an individual health care provider with primary practice located at 1410 Northport Dr , Madison WI 53704-2041. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mckenna, Tanner J. can be contacted via phone (608) 244-3410.Contact Information
Primary practice address
1410 Northport Dr
Madison WI 53704-2041
Phone: (608) 244-3410
Fax: (608) 244-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5691-015 | Wisconsin |
Profile Details
| NPI number | 1033111513 |
|---|---|
| LBN Legal business name | Mckenna, Tanner J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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