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Tanner Gray, DMD
General Practice Dentistry in Holloman Afb, New Mexico
NPI 1114509080

Tanner Gray is a General Practice Dentistry based in North Logan, NM and is specialized in General Practice. Tanner Gray practices in Holloman Afb, NM and has the professional credentials of DMD. The NPI Number for Tanner Gray is 1114509080 and holds a License No. 12322243-8903 (New Mexico).

The current practice location address for Tanner Gray is Building 20, Santa Fe Dr, Holloman Afb, NM and can be reached out via phone at 575-572-8099.

Location: Building 20, Santa Fe Dr, Holloman Afb, NM, 84341-1615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114509080
Provider Name
Tanner Gray
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Building 20, Santa Fe Dr, Holloman Afb, NM, 84341-1615
Phone Number
575-572-8099
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Building 20, Santa Fe Dr
City
Holloman Afb
State
New Mexico
Zip
88330
Phone Number
575-572-8099
Fax Number
person
Provider Business Mailing Address Details
Address
Building 20, Santa Fe Dr
City
Holloman Afb
State
New Mexico
Zip
88330
Phone Number
575-572-8099
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12322243-8903 (Utah)
Definition
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.
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