Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588092738 Individual Practitioner Male Practitioner

Dr. Samuel Zachary Tanner , DDS

Dentist • Grand Junction, CO

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Tanner, DDS is a registered healthcare professional specializing in Dentist in Grand Junction, CO. Practice services are available at 604 25 RD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

604 25 Rd Ste B

Grand Junction, CO 815051202

Telephone 9708227722
Fax 9708227616
Associated Practice Facility / Clinic
🏢 Tabeguache Dental Pllc Facility NPI 1477439198

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grand Junction, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Grand Junction, CO (2100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO 00202107

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 34705

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License AZ 10592

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location August 15, 2025

Registered at 604 25 RD STE B, GRAND JUNCTION, CO 815051202 (Tel: 9708227722)

📍
Updated Business Mailing Address August 15, 2025

Registered at 604 25 RD STE B, GRAND JUNCTION, CO 815051202 (Tel: 9708227722)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2025

Dentist (License #34705 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2025

Dentist (License #00202107 in CO)

📍
Updated Practice Location January 26, 2021

Registered at 944 N GILBERT RD, MESA, AZ 852035835 (Tel: 4806497200)

📍
Updated Practice Location June 12, 2020

Registered at 3190 S GILBERT RD STE 1, CHANDLER, AZ 852865106 (Tel: 4806951673)

📍
Updated Business Mailing Address June 12, 2020

Registered at 620 E LINDA LN, GILBERT, AZ 852345859 (Tel: 4806951673)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Dentist (License #10592 in AZ)

📍
Updated Practice Location December 15, 2018

Registered at 507 W STAN SCHLUETER LOOP STE 400, KILLEEN, TX 76542 (Tel: 2548709209)

📍
Updated Business Mailing Address December 15, 2018

Registered at 330 SYCAMORE ST, GEORGETOWN, TX 786331819 (Tel: 4806951673)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2018

Dentist (License #34705 in TX)

NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2016

Registered at 91-1410 KAIKOHOLA ST, EWA BEACH, HI 967066261 (Tel: 4806951673)

📍
Updated Business Mailing Address May 17, 2016

Registered at 91-1410 KAIKOHOLA ST, EWA BEACH, HI 967066261 (Tel: 4806951673)

👤
Provider Name / Credentials Updated May 17, 2016

Recorded as SAMUEL TANNER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Dentist (License #00202107 in CO)

🟢
Initial NPI Registration & Enumeration October 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588092738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2013
Last Update: August 15, 2025
Sole Proprietor: No

Mailing Address

604 25 Rd Ste B

Grand Junction, CO 815051202

Phone: 9708227722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.