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Dr. Tanner Rencher, DDS
Student in an Organized Health Care Education/Training Program in Rupert, Idaho
NPI 1437562774

Tanner Rencher is a Student in an Organized Health Care Education/Training Program based in Rupert, ID. Tanner Rencher practices in Rupert, ID and has the professional credentials of DDS. The NPI Number for Tanner Rencher is 1437562774 and holds a License No. (Idaho).

The current practice location address for Tanner Rencher is 128 N River Island Rd, Rupert, ID and can be reached out via phone at 262-228-8922.

Location: 128 N River Island Rd, Rupert, ID, 83350-8450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437562774
Provider Name
Tanner Rencher
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
128 N River Island Rd, Rupert, ID, 83350-8450
Phone Number
262-228-8922
Fax Number
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 N River Island Rd
City
Rupert
State
Idaho
Zip
83350-8450
Phone Number
262-228-8922
Fax Number
person
Provider Business Mailing Address Details
Address
128 N River Island Rd
City
Rupert
State
Idaho
Zip
83350-8450
Phone Number
262-228-8922
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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