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NPI 1588674642

IndividualActive

John Tanner, DDS MD

NPI 1588674642 · Oral and Maxillofacial Surgery (Dentist) · Kansas City, MO

Provider details

NPI number: 1588674642
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS MD
Sex: Male
Sole proprietor: No
License: DEO15216-DENTAL (MO)

Practice location

4700 Belleview

Ste L 10

Kansas City, MO 64112-1360

Phone: (816) 561-1115

Fax: (816) 931-7912

More MO providers

Mailing address

Po Box 802752

Kansas City, MO 64180-0001

Registry dates

Enumerated: 2006-08-09
Last updated: 2007-07-08

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

John Tanner, DDS MD — NPI 1588674642, Kansas City, MO | NPI Central