Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326181579 Individual Practitioner Male Practitioner

Dr. Nathan John Tanner , DMD

Dentist - General Practice • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Tanner, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, WY. Practice services are available at 200 E BROADWAY AVE # 1190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 E Broadway Ave # 1190

Jackson, WY 830018634

Telephone 3077335222
Associated Practice Facility / Clinic
🏢 Elk Ridge Dental Facility NPI 1497845127

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Jackson, WY (245 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: 2021-06-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WY WY1538

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License OR D7768

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WY 1538

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MT 4200

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
154182000 (WY)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address June 03, 2021

Registered at PO BOX 1190, JACKSON, WY 830011190 (Tel: 3077332555)

📍
Updated Practice Location October 25, 2019

Registered at 200 E BROADWAY AVE # 1190, JACKSON, WY 830018634 (Tel: 3077335222)

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 2911 GRAND AVE, BILLINGS, MT 591026526 (Tel: 4062454922)

📍
Updated Business Mailing Address September 11, 2012

Registered at 2911 GRAND AVE, BILLINGS, MT 591026526 (Tel: 4062454922)

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as NATHAN TANNER, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Dentist (License #4200 in MT)

🟢
Initial NPI Registration & Enumeration February 15, 2007

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: 1326181579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: June 03, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 1190

Jackson, WY 830011190

Phone: 3077332555

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.