Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508422197 Individual Practitioner Male Practitioner

Dr. Tanner Brunnworth , DMD

Dentist • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dr. Tanner Brunnworth, DMD is a registered healthcare professional specializing in Dentist in Crestview, FL. Practice services are available at 101 4TH AVE STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 4th Ave Ste D

Crestview, FL 325392401

Telephone 8506833544
Associated Practice Facility / Clinic
🏢 Panhandle Sleep Dentistry Llc Facility NPI 1164396651

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Crestview, FL (6414 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: 2023-08-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN24128

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1134744816

Doctor of Dental Medicine

NPI 1144673302

Doctor of Dental Medicine

NPI 1447884770

Doctor of Dental Medicine

NPI 1548192248

Doctor of Dental Medicine

Dr. Jennifer Wayer , DMD

Dentist - General Practice

NPI 1831282953

Doctor of Dental Medicine

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 06, 2023

Registered at 101 4TH AVE STE D, CRESTVIEW, FL 325392401 (Tel: 8506833544)

📍
Updated Business Mailing Address August 06, 2023

Registered at 101 4TH AVE STE D, CRESTVIEW, FL 325392401 (Tel: 8506833544)

📍
Updated Practice Location June 10, 2022

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292572104)

👤
Provider Name / Credentials Updated June 10, 2022

Recorded as TANNER BRUNNWORTH, DMD

📍
Updated Practice Location November 18, 2021

Registered at 3278 MITCHELL BLVD, APO, AA 31699 (Tel: 2572292104)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2021

Dentist (License #DN24128 in FL)

NPI Profile Active May 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2019

Registered at 1067 TWINING DR, BARKSDALE AFB, LA 711102486 (Tel: 3184566718)

📍
Updated Business Mailing Address May 19, 2019

Registered at 7882 S AIRPORT RD, MILTON, FL 325832754 (Tel: 8507360070)

👤
Provider Name / Credentials Updated May 19, 2019

Recorded as TANNER BRUNNWORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 19, 2019

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: 1508422197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2019
Last Update: August 06, 2023
Sole Proprietor: Yes

Mailing Address

101 4th Ave Ste D

Crestview, FL 325392401

Phone: 8506833544

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.