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Dr. Kevin Tanner, DDS
General Practice Dentistry in Citrus Heights, California
NPI 1962531806

Kevin Tanner is a General Practice Dentistry based in Citrus Heights, CA and is specialized in General Practice. Kevin Tanner practices in Citrus Heights, CA and has the professional credentials of DDS. The NPI Number for Kevin Tanner is 1962531806 and holds a License No. 30850 (California).

The current practice location address for Kevin Tanner is 8089 Madison Ave, Citrus Heights, CA and can be reached out via phone at 916-966-1473 and via fax at 916-966-0648.

Location: 8089 Madison Ave, Citrus Heights, CA, 95610-7964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962531806
Provider Name
Kevin Tanner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8089 Madison Ave, Citrus Heights, CA, 95610-7964
Phone Number
916-966-1473
Fax Number
916-966-0648
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331019637 01 CA TAX ID
526523 01 CA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
8089 Madison Ave
City
Citrus Heights
State
California
Zip
95610-7964
Phone Number
916-966-1473
Fax Number
916-966-0648
person
Provider Business Mailing Address Details
Address
8089 Madison Ave
City
Citrus Heights
State
California
Zip
95610-7964
Phone Number
916-966-1473
Fax Number
916-966-0648
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30850 (California)
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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