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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANNER GUSTAFSON

Active Sole Proprietor

TANNER GUSTAFSON is a General Dentistry healthcare provider located in BEAUFORT, South Carolina. NPI 1669049821 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BEAUFORT, SC

Registration Details

NPI Number
1669049821
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2021 (5.0007351597903 yrs)
Last Updated
May 3, 2023
Licenses
DN122359 (GA)
10270 (SC)
Sole Proprietor
Yes

Practice Information

Address
27A KEMMERLIN LN
BEAUFORT, SC, 299072702
Browse SC providers · Browse ZIP 29907
Phone
8435222007
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in BEAUFORT, SC

Name Credential NPI
DR. JENNIFER ELLIS FERREIRA D.D.S 1811998321
DR. JENNIFER KRISTINE WALLACE DMD 1316930233
DR. TRISTAN GREENWALT DMD 1518940980
WILLIAM CLAYTON MORGAN JR. DDS 1972586824
DR. JOHN P MOON DDS 1720067481
DR. WILLIAM FRANK WRIGHT DDS 1417937566
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.