Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952761702 Individual Practitioner Female Practitioner

Dr. Jennifer Tanaka , DDS

Dentist - General Practice • Apo, AP

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Tanaka, DDS is a registered healthcare professional specializing in Dentist - General Practice in Apo, AP. Practice services are available at 18TH MEDICAL GROUP, UNIT 5142 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18th Medical Group, Unit 5142

Apo, AP 963685142

Telephone 0989604817

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Apo, AP

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
63 Specialists

Practicing in Apo, AP (111 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: 2020-10-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 9426580-9921

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Austin Wildermuth , PA-C

Physician Assistant

NPI 1013508266

Physician Assistant (Certified)

Londa Wilson , LCSW

Social Worker

NPI 1023318102

Licensed Clinical Social Worker

Richard Ypina

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1083214894
NPI 1124763594

Doctor of Osteopathic Medicine (D.O.)

NPI 1154980464

Doctor of Medicine (M.D.)

Dr. Brady Hildt , PsyD

Psychologist - Clinical

NPI 1225347610

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 21, 2020

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 963685142 (Tel: 0989604817)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2020

Dentist (License #9426580-9921 in UT)

📍
Updated Practice Location October 06, 2020

Registered at UNIT 5142, APO, AP 963685142 (Tel: 0989604817)

📍
Updated Business Mailing Address October 06, 2020

Registered at PSC 80 BOX 21336, APO, AP 963670098

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location April 23, 2018

Registered at 1371 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214946366)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2018

Dentist (License #9426580-9921 in UT)

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2016

Registered at 77 NEALY AVENUE, 633D MEDICAL GROUP, JOINT BASE LANGLEY EUSTIS, VA 236652040 (Tel: 7572257630)

📍
Updated Business Mailing Address March 07, 2016

Registered at 77 NEALY AVENUE, 633D MEDICAL GROUP, JOINT BASE LANGLEY EUSTIS, VA 236652040 (Tel: 7572257630)

👤
Provider Name / Credentials Updated March 07, 2016

Recorded as JENNIFER TANAKA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 07, 2016

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: 1952761702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2016
Last Update: October 21, 2020
Sole Proprietor: No

Mailing Address

Psc 80 Box 21336

Apo, AP 963670098

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.