Tanner, John P

Tanner, John P is an individual health care provider with primary practice located at 4700 Belleview Ste L 10, Kansas City MO 64112-1360. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Tanner, John P can be contacted via phone (816) 561-1115.

Contact Information

Primary practice address
4700 Belleview Ste L 10 Kansas City MO 64112-1360
Phone: (816) 561-1115
Fax: (816) 931-7912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DEO15216-DENTAL Missouri

Profile Details

NPI number 1588674642
LBN Legal business name Tanner, John P
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1588674642 NPPES
Missouri Other 16670147 BCBS OF KCMO

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