IndividualActive
Devin Tanner, DDS
NPI 1285040634 · General Practice Dentistry · Green River, WY
Provider details
- NPI number
- 1285040634
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1382 (WY)
Specialties & taxonomies
Dental Providers
Practice location
125 W Flaming Gorge Way Ste B
Green River, WY 82935-4213
Phone: (307) 875-7770
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 127
Green River, WY 82935-0127
Registry dates
- Enumerated
- 2014-07-07
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.