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Nathan Tanner PC — NPI 1144862293, Jackson, WY | NPI Central

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NPI 1144862293

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Nathan Tanner PC

NPI 1144862293 · Dental Clinic/Center · Jackson, WY

Provider details

NPI number: 1144862293
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Lynette Krause, Insurance Coordinator(307) 733-2555

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

200 E Broadway

Jackson, WY 83001

Phone: (307) 733-2555

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

Po Box 1190

Jackson, WY 83001-1190

Other names (DBA / former)

Doing business as: Elkridge Dental

Registry dates

Enumerated: 2019-10-10
Last updated: 2019-10-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.