Vanorden, Tara Lynn

Vanorden, Tara Lynn is an individual health care provider with primary practice located at 1715 Kuenzli St , Reno NV 89502-1117. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Vanorden, Tara Lynn can be contacted via phone (775) 329-5162.

Contact Information

Primary practice address
1715 Kuenzli St Reno NV 89502-1117
Fax: (775) 334-4361
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DE00009193 Washington
Dental Providers / Dental Public Health 1223D0001X 5086 Nevada

Profile Details

NPI number 1306981659
LBN Legal business name Vanorden, Tara Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 19th, 2013 - about 11 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 1306981659 NPPES
Nevada MEDICAID 004716904

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