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Contact Information

DANIEL L TANNEN, DDS
224 W D.L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM88103
 Phone: 575-784-4041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DANIEL L TANNEN · (Male)

NPI # 1154094159
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/27/2021
Last updated 08/06/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 37309
  • UT License # 13427199-9926
  • Other 1543552158 DOD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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